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General NPI Number Information
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NPI Number | 1538807821
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Entity Type | Organization
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Legal Business Name | EILEEN M OSGOOD, LCSW, LLC
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Dates
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Enumeration Date | 05/25/2022
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Last Update Date | 05/25/2022
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Provider Practice Location Address
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Address Line | 129 W VIRGINIA BEACH BLVD # 204B
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City | NORFOLK
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State | VA
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Zip | 23510-2030
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Country | US
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Telephone | 757-514-1439
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Fax | 757-622-4033
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Provider Business Mailing Address
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Address Line | 316 S BOTETOURT CT
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City | NORFOLK
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State | VA
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Zip | 23507-1859
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Country | US
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Telephone | 757-630-2033
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Fax | 757-622-4033
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Authorized Official
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Title or Position | OWNER
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Name | EILEEN M OSGOOD
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Credential | LCSW
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Telephone | 757-514-1439
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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 |
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License Number State |
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