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General NPI Number Information
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NPI Number | 1215331202
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Entity Type | Individual
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Provider Name | SAFRONA OSBECK PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 10/20/2014
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | MARTIN ARMY COMMUNITY HOSPITAL, 6600 VAN AALST BLVD BLD 9250
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City | FORT BENNING
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State | GA
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Zip | 31905
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Country | US
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Telephone | 478-718-7407
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Fax |
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Provider Business Mailing Address
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Address Line | MARTIN ARMY COMMUNITY HOSPITAL, 6600 VAN AALST BLVD BLD. 9250
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City | FORT BENNING
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State | GA
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Zip | 31905
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Country | US
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Telephone |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 552
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 5525
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License Number State | NC
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