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General NPI Number Information
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NPI Number | 1548314776
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Entity Type | Individual
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Provider Name | DAVID J TOBIN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 02/22/2023
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Provider Practice Location Address
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Address Line | 26 PLEASANT ST STE 3A
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City | CONCORD
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State | NH
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Zip | 03301-4074
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Country | US
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Telephone | 413-687-7849
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 2531
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City | AMHERST
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State | MA
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Zip | 01004
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Country | US
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Telephone | 413-687-7849
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 7252
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | 7252
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License Number State | MA
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