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General NPI Number Information
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NPI Number | 1952596348
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Entity Type | Individual
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Provider Name | JONATHAN WOLF PATTOW PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 9864 BALDWIN PL
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City | EL MONTE
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State | CA
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Zip | 91731-2202
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Country | US
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Telephone | 626-433-1311
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Fax | 626-433-1313
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Provider Business Mailing Address
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Address Line | 10605 BALBOA BLVD STE 100
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City | GRANADA HILLS
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State | CA
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Zip | 91344-6367
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Country | US
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Telephone | 818-832-2400
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Fax | 626-433-1313
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Authorized Official
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Title or Position |
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Name |
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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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Taxonomy #2
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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