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General NPI Number Information
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NPI Number | 1366229338
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Entity Type | Individual
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Provider Name | THOMAS PATSCAL CORDON ND, MPH, LMT
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Gender | Male
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Dates
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Enumeration Date | 09/12/2023
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 374 OWENS ST SE
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City | SALEM
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State | OR
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Zip | 97302-4183
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Country | US
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Telephone | 503-972-0235
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Fax |
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Provider Business Mailing Address
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Address Line | 5302 JEFFREY CT N
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City | KEIZER
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State | OR
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Zip | 97303-5720
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Country | US
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Telephone | 609-284-6981
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT-26563
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 5088
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License Number State | OR
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