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General NPI Number Information
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NPI Number | 1013099563
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Entity Type | Individual
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Provider Name | CYNTHIA S OSBORNE LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1702 SOUTH RD
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City | BALTIMORE
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State | MD
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Zip | 21209-4504
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Country | US
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Telephone | 443-622-5077
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Fax | 410-433-6646
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Provider Business Mailing Address
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Address Line | 501 EDGEVALE RD
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City | BALTIMORE
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State | MD
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Zip | 21210-1901
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Country | US
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Telephone | 443-622-5077
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Fax | 410-433-6646
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 10457
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License Number State | MD
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