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General NPI Number Information
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NPI Number | 1003199985
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Entity Type | Individual
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Provider Name | COREY G TOBY LCSW
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Gender | Male
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Dates
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Enumeration Date | 09/27/2011
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Last Update Date | 04/03/2023
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Provider Practice Location Address
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Address Line | 181 POST RD W
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City | WESTPORT
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State | CT
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Zip | 06880-4626
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Country | US
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Telephone | 203-434-6337
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Fax | 203-886-1121
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Provider Business Mailing Address
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Address Line | 52 JACKSON PL
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City | WHITE PLAINS
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State | NY
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Zip | 10603-3027
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Country | US
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Telephone | 203-434-6337
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Fax | 203-886-1121
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 58.009882
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License Number State | CT
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