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General NPI Number Information
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NPI Number | 1730730391
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Entity Type | Individual
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Provider Name | RICHARD PAINTER M.S., LMFT
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Gender | Male
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Dates
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Enumeration Date | 09/25/2019
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Last Update Date | 09/04/2023
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Provider Practice Location Address
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Address Line | 595 E COLORADO BLVD
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City | PASADENA
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State | CA
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Zip | 91101-2039
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Country | US
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Telephone | 904-800-8553
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 FREMONT AVE UNIT 3324
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City | SOUTH PASADENA
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State | CA
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Zip | 91031-7090
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT3281
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 114765
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License Number State | CA
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