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General NPI Number Information
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NPI Number | 1184579476
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Entity Type | Individual
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Provider Name | OSVALDO SALCEDO LCSW
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Gender | Male
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 433 S CARLTON AVE
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City | WHEATON
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State | IL
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Zip | 60187-4872
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Country | US
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Telephone | 630-871-8387
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Fax | 630-653-6748
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Provider Business Mailing Address
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Address Line | 4315 PEACHTREE DR
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City | MYRTLE BEACH
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State | SC
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Zip | 29588-8914
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Country | US
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Telephone | 804-388-3507
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Fax | 855-950-4899
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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 | 149-026723
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License Number State | IL
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