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General NPI Number Information
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NPI Number | 1154615078
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Entity Type | Organization
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Legal Business Name | THOMSON KURAMATSU GROUP, INC.
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Dates
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Enumeration Date | 06/08/2011
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Last Update Date | 06/08/2011
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Provider Practice Location Address
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Address Line | 482 N. ROSEMEAD SUITE 207
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City | PASADENA
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State | CA
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Zip | 91107
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Country | US
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Telephone | 562-261-5888
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Fax | 562-947-0502
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Provider Business Mailing Address
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Address Line | P.O. BOX 2089
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City | ARTESIA
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State | CA
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Zip | 90702-2089
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Country | US
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Telephone | 714-940-0941
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Fax | 714-940-0944
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER M THOMSON
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Credential | LCSW
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Telephone | 562-261-5888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | LCS19880
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License Number State | CA
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