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General NPI Number Information
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NPI Number | 1932357555
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Entity Type | Individual
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Provider Name | REBECCA SOPHIE BOBEK PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 09/08/2008
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Last Update Date | 03/17/2022
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Provider Practice Location Address
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Address Line | 216 NW 6TH ST
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City | CORVALLIS
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State | OR
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Zip | 97330-4812
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Country | US
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Telephone | 541-740-9094
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Fax | 541-754-0477
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Provider Business Mailing Address
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Address Line | 216 NW 6TH ST
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City | CORVALLIS
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State | OR
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Zip | 97330-4812
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Country | US
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Telephone | 541-740-9094
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Fax | 541-754-0477
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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 | 9699
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2729
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License Number State | OR
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