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General NPI Number Information
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NPI Number | 1215182886
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Entity Type | Organization
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Legal Business Name | PLATT MARRIAGE & FAMILY THERAPY CORPORATION
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Dates
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Enumeration Date | 11/24/2008
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Last Update Date | 11/24/2008
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Provider Practice Location Address
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Address Line | 311 MILLER AVE SUITE E
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City | MILL VALLEY
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State | CA
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Zip | 94941-2844
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Country | US
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Telephone | 415-760-8541
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Fax | 815-301-9737
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Provider Business Mailing Address
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Address Line | 311 MILLER AVE SUITE E
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City | MILL VALLEY
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State | CA
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Zip | 94941-2844
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Country | US
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Telephone | 415-760-8541
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Fax | 815-301-9737
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Authorized Official
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Title or Position | CFO
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Name | RICHARD STANLEY PLATT
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Credential | LMFT, CPC
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Telephone | 415-760-8541
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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 | MFC38930
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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 | MFC35161
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License Number State | CA
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