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General NPI Number Information
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NPI Number | 1225953490
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Entity Type | Organization
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Legal Business Name | JON-PATRIK PEDERSEN, PHD, CLINICAL PSYCHOLOGY P.C.
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 102 N MADISON AVE
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City | PASADENA
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State | CA
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Zip | 91101-1710
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Country | US
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Telephone | 626-449-4737
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Fax |
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Provider Business Mailing Address
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Address Line | 102 N MADISON AVE
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City | PASADENA
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State | CA
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Zip | 91101-1710
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Country | US
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Telephone | 626-449-4737
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. JOHN PATRICK PEDERSEN
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Credential |
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Telephone | 626-449-4737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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