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General NPI Number Information
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NPI Number | 1750366902
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Entity Type | Individual
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Provider Name | GREGORY R THOMSON PHD
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Gender | Male
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Dates
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Enumeration Date | 12/09/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2512 SAMARITAN CT SUITE I
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City | SAN JOSE
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State | CA
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Zip | 95124-4002
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Country | US
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Telephone | 408-402-9858
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3240
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City | SARATOGA
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State | CA
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Zip | 95070-1240
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Country | US
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Telephone | 408-402-9858
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 6301011373
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PSY14385
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301011373
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | PSY14385
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 6301011373
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY14385
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6301011373
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License Number State | MI
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Taxonomy #8
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PSY14385
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License Number State | CA
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Taxonomy #9
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 6301011373
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License Number State | MI
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Taxonomy #10
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PSY14385
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License Number State | CA
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Taxonomy #11
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 6301011373
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License Number State | MI
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Taxonomy #12
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY14385
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License Number State | CA
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