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General NPI Number Information
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NPI Number | 1326493404
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Entity Type | Individual
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Provider Name | MRS. PATRICIA PERKINS
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Gender | Female
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Dates
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Enumeration Date | 04/26/2016
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Last Update Date | 04/26/2016
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Provider Practice Location Address
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Address Line | 3700 DELTA FAIR BLVD SUITE 200C
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City | ANTIOCH
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State | CA
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Zip | 94509-4019
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Country | US
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Telephone | 925-252-5243
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Fax |
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Provider Business Mailing Address
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Address Line | 4485 SAINT JOHN LN
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City | PITTSBURG
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State | CA
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Zip | 94565-6049
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Country | US
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Telephone | 925-252-5243
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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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 | LMFT37971
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License Number State | CA
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