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General NPI Number Information
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NPI Number | 1366794307
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Entity Type | Individual
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Provider Name | TOBY T. EASTON LPCA
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Gender | Male
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Dates
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Enumeration Date | 10/14/2012
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Last Update Date | 10/01/2014
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Provider Practice Location Address
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Address Line | 1037 BULLARD CT 208
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City | RALEIGH
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State | NC
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Zip | 27615-6871
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Country | US
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Telephone | 919-961-2892
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Fax |
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Provider Business Mailing Address
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Address Line | 724 ROYAL ANNE LN APT 201
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City | RALEIGH
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State | NC
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Zip | 27615-7813
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Country | US
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Telephone | 919-961-2892
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | A9148
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License Number State | NC
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