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General NPI Number Information
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NPI Number | 1417332099
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Entity Type | Organization
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Legal Business Name | THOMAS PATERSON
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Dates
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Enumeration Date | 07/24/2015
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Last Update Date | 07/24/2015
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Provider Practice Location Address
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Address Line | 45 FRANKLIN ST STE 311
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-6047
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Country | US
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Telephone | 415-333-1901
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Fax |
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Provider Business Mailing Address
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Address Line | 45 FRANKLIN ST. #311
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City | SAN FRANCISCO
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State | CA
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Zip | 94102
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Country | US
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Telephone | 415-333-1901
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | MR. THOMAS GORDON PATERSON
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Credential | MFT
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Telephone | 415-333-1901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MFT35108
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License Number State | CA
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