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General NPI Number Information
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NPI Number | 1518772490
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Entity Type | Individual
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Provider Name | OSHANE TOBIAS
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Gender | Male
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 1030 FAYETTEVILLE RD SE
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City | ATLANTA
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State | GA
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Zip | 30316-2921
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Country | US
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Telephone | 404-486-9034
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Fax |
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Provider Business Mailing Address
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Address Line | 632 CHURCH ST W
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City | AHOSKIE
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State | NC
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Zip | 27910-2902
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Country | US
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Telephone | 678-249-5425
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | GA
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