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General NPI Number Information
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NPI Number | 1043176829
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Entity Type | Individual
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Provider Name | TOBIAH WOLFGANG GROLLMUS COUSELOR TRAINEE
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Gender | Male
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Dates
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Enumeration Date | 12/24/2025
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 5241 MONTGOMERY ROAD
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City | CINCINNATI
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State | OH
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Zip | 45212-1655
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Country | US
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Telephone | 513-993-5241
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Fax | 513-586-2768
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Provider Business Mailing Address
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Address Line | 5241 MONTGOMERY ROAD
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City | CINCINNATI
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State | OH
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Zip | 45212-1655
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Country | US
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Telephone | 513-993-5241
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Fax | 513-586-2768
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C.2507319-TRNE
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License Number State | OH
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