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General NPI Number Information
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NPI Number | 1366951857
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Entity Type | Individual
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Provider Name | TOREYUNG TAMUS COBBS CPC 1
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Gender | Male
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Dates
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Enumeration Date | 09/27/2017
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 1112 S. WASHINGTON ST. SUITE 202
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City | NAPERVILLE
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State | IL
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Zip | 60540
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Country | US
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Telephone | 630-848-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 2360 W HORIZON RIDGE PKWY STE 102
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City | HENDERSON
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State | NV
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Zip | 89052-5082
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Country | US
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Telephone | 331-206-9795
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 178.011229
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | CI5134
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License Number State | NV
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