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General NPI Number Information
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NPI Number | 1376454546
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Entity Type | Organization
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Legal Business Name | TOBE INTIATIVE LLC
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 255 LOCUST ST
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City | MARIANNA
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State | AR
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Zip | 72360-1944
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Country | US
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Telephone | 870-636-5155
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1298
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City | WEST MEMPHIS
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State | AR
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Zip | 72303-1298
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Country | US
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Telephone | 870-636-5155
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHERESE GREEN
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Credential |
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Telephone | 870-514-9383
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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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