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NPI 1780441550

NPI 1780441550 : TOBIN THERAPY LLC : SPRINGFIELD, OR

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General NPI Number Information
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    NPI Number           |    1780441550
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    Entity Type          |    Organization 
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    Legal Business Name  |    TOBIN THERAPY LLC 
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Dates
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    Enumeration Date     |    02/28/2024
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    Last Update Date     |    02/28/2024
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Provider Practice Location Address
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    Address Line         |    175 W B ST STE B1 
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    City                 |    SPRINGFIELD
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    State                |    OR
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    Zip                  |    97477-4515
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    Country              |    US
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    Telephone            |    541-230-7238
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    Fax                  |    541-236-7418
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Provider Business Mailing Address
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    Address Line         |    1412 E ST 
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    City                 |    SPRINGFIELD
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    State                |    OR
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    Zip                  |    97477-4140
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/THERAPIST
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    Name                 |     BARBARA ANN TOBIN 
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    Credential           |    M.ED.
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    Telephone            |    541-230-7238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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