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General NPI Number Information
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NPI Number | 1659395002
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Entity Type | Individual
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Provider Name | THOMAS FORRAY LMFT -CALIFORNIA
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 06/06/2011
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Provider Practice Location Address
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Address Line | 250 BON AIR RD FIRST FLOOR
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City | GREENBRAE
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State | CA
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Zip | 94904-1702
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Country | US
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Telephone | 415-299-9847
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Fax | 415-507-4160
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Provider Business Mailing Address
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Address Line | 250 BON AIR RD FIRST FLOOR
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City | GREENBRAE
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State | CA
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Zip | 94904-1702
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Country | US
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Telephone | 415-299-9847
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Fax | 415-507-4160
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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 | MF 15861
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License Number State | CA
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