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General NPI Number Information
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NPI Number | 1245551043
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Entity Type | Individual
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Provider Name | PATRICIA JANE GATLIN LPC, LMFT
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Gender | Female
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Dates
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Enumeration Date | 06/15/2010
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Last Update Date | 01/22/2013
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Provider Practice Location Address
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Address Line | 990 N WALNUT CREEK DR SUITE 2017
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City | MANSFIELD
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State | TX
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Zip | 76063-1580
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Country | US
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Telephone | 817-676-3437
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Fax | 817-473-4998
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Provider Business Mailing Address
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Address Line | 826 RIVIERA DR
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City | MANSFIELD
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State | TX
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Zip | 76063-3711
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Country | US
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Telephone | 817-473-4997
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Fax | 817-473-4998
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 64289
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License Number State | TX
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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 | 201417
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License Number State | TX
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