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General NPI Number Information
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NPI Number | 1376701557
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Entity Type | Individual
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Provider Name | THOMAS A MORIN MFT
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Gender | Male
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Dates
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Enumeration Date | 05/25/2008
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Last Update Date | 05/25/2008
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Provider Practice Location Address
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Address Line | 4283 PIEDMONT AVE SUITE E 3
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City | OAKLAND
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State | CA
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Zip | 94611-4713
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Country | US
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Telephone | 415-464-0234
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Fax | 415-461-3054
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Provider Business Mailing Address
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Address Line | 751 VIA CASITAS
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City | GREENBRAE
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State | CA
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Zip | 94904-1839
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Country | US
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Telephone | 415-464-0234
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Fax | 415-461-3054
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC 30190
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License Number State | CA
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