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General NPI Number Information
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NPI Number | 1376410985
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Entity Type | Individual
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Provider Name | TOBBY N UZODINMA PMHNP
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Gender | Male
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 5737 NE 37TH AVE
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City | PORTLAND
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State | OR
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Zip | 97211-7905
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Country | US
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Telephone | 253-922-4027
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Fax |
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Provider Business Mailing Address
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Address Line | 2434 W 64TH AVE
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City | MERRILLVILLE
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State | IN
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Zip | 46410-2864
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Country | US
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Telephone | 360-393-5820
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10051935
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License Number State | OR
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