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General NPI Number Information
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NPI Number | 1962919480
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Entity Type | Individual
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Provider Name | ERIKA MARY TOEBAAS LAC, DAOM
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Gender | Female
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Dates
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Enumeration Date | 01/05/2018
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 51 SHERWOOD TER STE 51H
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City | LAKE BLUFF
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State | IL
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Zip | 60044-2232
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Country | US
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Telephone | 312-554-5709
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Fax |
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Provider Business Mailing Address
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Address Line | 840 N SAINT MARYS RD
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-1634
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Country | US
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Telephone | 773-443-3809
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0002490
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC17657
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 227.022724
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 0024108
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 198001599
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License Number State | IL
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