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General NPI Number Information
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NPI Number | 1689043275
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Entity Type | Individual
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Provider Name | THOMAS W. SIEH JR. MA, LPC
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Gender | Male
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Dates
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Enumeration Date | 09/24/2015
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Last Update Date | 09/24/2015
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Provider Practice Location Address
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Address Line | 3314 DARTMOUTH FIELD LN
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City | FRESNO
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State | TX
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Zip | 77545-7000
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Country | US
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Telephone | 713-397-1826
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Fax |
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Provider Business Mailing Address
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Address Line | 3314 DARTMOUTH FIELD LANE
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City | FRESNO
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State | TX
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Zip | 77545
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Country | US
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Telephone | 713-397-1826
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 71777
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License Number State | TX
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