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General NPI Number Information
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NPI Number | 1609098961
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Entity Type | Organization
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Legal Business Name | THOMAS ONORATO, PH.D., INC.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 06/21/2013
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Provider Practice Location Address
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Address Line | 4560 ADMIRALTY WAY STE. 353
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City | MARINA DEL REY
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State | CA
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Zip | 90292-5423
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Country | US
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Telephone | 310-338-9002
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Fax | 310-642-0856
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Provider Business Mailing Address
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Address Line | 4560 ADMIRALTY WAY STE. 353
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City | MARINA DEL REY
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State | CA
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Zip | 90292-5423
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Country | US
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Telephone | 310-338-9002
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Fax | 310-642-0856
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS DAVID ONORATO
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Credential | PH.D.
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Telephone | 310-338-9002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PSY11518
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY11518
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY11518
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License Number State | CA
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