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General NPI Number Information
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NPI Number | 1407655061
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Entity Type | Individual
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Provider Name | PATRICK JOHN MCMAHON LMFT
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Gender | Male
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 7041 OWENSMOUTH AVE STE 102
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City | CANOGA PARK
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State | CA
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Zip | 91303-4210
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Country | US
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Telephone | 724-580-8030
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Fax |
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Provider Business Mailing Address
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Address Line | 10063 RIVERSIDE DR UNIT 225
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City | TOLUCA LAKE
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State | CA
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Zip | 91610-7001
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Country | US
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Telephone | 724-580-8030
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 153332
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License Number State | CA
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