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General NPI Number Information
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NPI Number | 1144963620
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Entity Type | Organization
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Legal Business Name | ELISE TOBIN MS MARRIAGE AND FAMILY THERAPY INC
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Dates
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Enumeration Date | 04/14/2022
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Last Update Date | 04/14/2022
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Provider Practice Location Address
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Address Line | 408 S MAIN ST STE 240
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City | TEMPLETON
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State | CA
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Zip | 93465-5342
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Country | US
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Telephone | 805-237-4462
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Fax | 805-434-0343
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Provider Business Mailing Address
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Address Line | 408 S MAIN ST STE 240
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City | TEMPLETON
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State | CA
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Zip | 93465-5342
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Country | US
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Telephone | 805-237-4462
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Fax | 805-434-0343
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Authorized Official
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Title or Position | OWNER
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Name | ELISE TOBIN
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Credential | LMFT
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Telephone | 805-237-4462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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