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General NPI Number Information
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NPI Number | 1124156211
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Entity Type | Individual
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Provider Name | PATRICK ARCH CARR MFT
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Gender | Male
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 10/18/2010
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Provider Practice Location Address
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Address Line | 720 WOOD ST
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City | EUREKA
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State | CA
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Zip | 95501-4413
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Country | US
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Telephone | 707-268-2990
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6882
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City | EUREKA
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State | CA
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Zip | 95502-6882
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Country | US
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Telephone | 707-269-4173
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Fax | 707-445-7322
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT31915
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC31915
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License Number State | CA
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