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General NPI Number Information
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NPI Number | 1659645547
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Entity Type | Individual
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Provider Name | DAVID J TOBIAS LMSW
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Gender | Male
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Dates
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Enumeration Date | 02/24/2012
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Last Update Date | 02/24/2012
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Provider Practice Location Address
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Address Line | 360 W 230TH ST
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City | BRONX
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State | NY
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Zip | 10463-3803
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Country | US
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Telephone | 718-796-2660
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Fax |
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Provider Business Mailing Address
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Address Line | 1753 E 9TH ST
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City | BROOKLYN
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State | NY
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Zip | 11223-2305
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Country | US
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Telephone | 347-677-2939
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Fax | 718-492-6276
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 085342
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License Number State | NY
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