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General NPI Number Information
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NPI Number | 1699448332
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Entity Type | Individual
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Provider Name | JOSHUA J TOBIAS MSW, LSW
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Gender | Male
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Dates
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Enumeration Date | 07/28/2021
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Last Update Date | 07/28/2021
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Provider Practice Location Address
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Address Line | 900 COMMONWEALTH DR STE 900
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City | CRANBERRY TWP
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State | PA
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Zip | 16066-5022
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Country | US
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Telephone | 724-742-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 734 N BROAD STREET EXT
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City | GROVE CITY
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State | PA
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Zip | 16127-4612
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Country | US
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Telephone | 724-992-0910
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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 | SW136203
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License Number State | PA
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