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General NPI Number Information
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NPI Number | 1538176185
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Entity Type | Individual
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Provider Name | MARTHA GILCHRIST OSTER LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 09/24/2012
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Provider Practice Location Address
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Address Line | 210 MAIN ST SUITE 1
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City | ELLSWORTH
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State | ME
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Zip | 04605-1949
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Country | US
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Telephone | 207-326-0936
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Fax |
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Provider Business Mailing Address
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Address Line | RR 1 BOX 43
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City | PENOBSCOT
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State | ME
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Zip | 04476-9704
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Country | US
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Telephone | 207-326-2069
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC7663
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License Number State | ME
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