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General NPI Number Information
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NPI Number | 1407061419
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Entity Type | Individual
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Provider Name | CHARLES J OSEROFF MD
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Gender | Male
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Dates
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Enumeration Date | 05/12/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1536 COLE BLVD. BLG #4-#250
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City | LAKEWOOD
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State | CO
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Zip | 80401
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Country | US
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Telephone | 303-716-8027
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Fax | 303-238-5258
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Provider Business Mailing Address
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Address Line | 1707 COLE BLVD. STE 100
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City | GOLDEN
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State | CO
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Zip | 80401
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Country | US
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Telephone | 303-716-8018
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Fax | 303-763-5495
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | D0032707
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License Number State | MD
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