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General NPI Number Information
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NPI Number | 1972042232
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Entity Type | Organization
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Legal Business Name | WORLDWORKS UNLIMITED
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Dates
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Enumeration Date | 02/20/2017
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Last Update Date | 02/20/2017
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Provider Practice Location Address
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Address Line | 1275 4TH ST SUITE 725
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City | SANTA ROSA
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State | CA
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Zip | 95404-4057
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Country | US
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Telephone | 888-255-9757
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Fax |
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Provider Business Mailing Address
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Address Line | 1275 4TH ST STE 725
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City | SANTA ROSA
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State | CA
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Zip | 95404-4057
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Country | US
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Telephone | 888-255-9757
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. THOMAS EUGENE COBB
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Credential | MFT
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Telephone | 888-255-9757
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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 | MFT6936
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License Number State | CA
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