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General NPI Number Information
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NPI Number | 1194889626
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Entity Type | Individual
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Provider Name | THOMAS FREDERICK EVANS MFT
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Gender | Male
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 05/04/2018
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Provider Practice Location Address
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Address Line | 7 GOVERNORS LN STE 11
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City | CHICO
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State | CA
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Zip | 95926-1990
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Country | US
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Telephone | 530-828-6868
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Fax | 530-892-2900
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Provider Business Mailing Address
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Address Line | 765 VICTORIAN PARK DRIVE
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City | CHICO
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State | CA
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Zip | 95926
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Country | US
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Telephone | 530-343-0525
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Fax |
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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 | MFT30754
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License Number State | CA
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