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General NPI Number Information
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NPI Number | 1013590066
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Entity Type | Individual
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Provider Name | ERICA NICOLE TOBIN
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Gender | Female
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Dates
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Enumeration Date | 04/28/2021
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Last Update Date | 04/28/2021
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Provider Practice Location Address
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Address Line | 222 SE 8TH AVE # SUICE212
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City | HILLSBORO
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State | OR
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Zip | 97123-4218
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Country | US
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Telephone | 503-320-0592
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Fax |
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Provider Business Mailing Address
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Address Line | 9855 SW RODEO PL
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City | BEAVERTON
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State | OR
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Zip | 97008-6781
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Country | US
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Telephone | 818-687-0942
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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 |
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License Number State |
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