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General NPI Number Information
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NPI Number | 1649142845
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Entity Type | Organization
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Legal Business Name | TOMA BARRE CONSULTANCY GROUP
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 1209 MOUNTAIN ROAD PL NE STE N
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-7845
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Country | US
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Telephone | 682-999-9765
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Fax |
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Provider Business Mailing Address
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Address Line | 600 W 6TH ST FL 4
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City | FORT WORTH
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State | TX
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Zip | 76102-3684
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Country | US
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Telephone | 682-999-9765
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALYSA IYANA GRAYSON
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Credential |
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Telephone | 682-999-9765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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