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General NPI Number Information
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NPI Number | 1437179025
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Entity Type | Individual
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Provider Name | ROBIN BENNETT OSBORNE PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 321 RT 113 THE LIVERY HOUSE
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City | EAST THETFORD
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State | VT
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Zip | 05043-9510
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Country | US
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Telephone | 802-785-4262
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 187 THE LIVERY HOUSE
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City | EAST THETFORD
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State | VT
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Zip | 05043-0187
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Country | US
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Telephone | 802-785-4262
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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 | 402
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License Number State | VT
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