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General NPI Number Information
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NPI Number | 1477716751
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Entity Type | Individual
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Provider Name | THOMAS MURRAY PATTON
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Gender | Male
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 08/01/2013
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Provider Practice Location Address
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Address Line | 29W522 BATAVIA RD SUITE #1
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City | WARRENVILLE
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State | IL
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Zip | 60555-2007
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Country | US
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Telephone | 309-721-5533
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Fax |
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Provider Business Mailing Address
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Address Line | 4 SUNNY HILL CT
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City | ORION
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State | IL
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Zip | 61273-9713
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Country | US
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Telephone | 309-721-5533
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 178.005623
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License Number State | IL
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