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General NPI Number Information
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NPI Number | 1750936464
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Entity Type | Individual
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Provider Name | NATHALIA OSBY
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Gender | Female
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Dates
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Enumeration Date | 08/08/2019
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Last Update Date | 08/08/2019
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Provider Practice Location Address
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Address Line | 200 MAIN ST STE 600
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City | FORT WORTH
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State | TX
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Zip | 76102-3011
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Country | US
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Telephone | 817-657-2564
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Fax |
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Provider Business Mailing Address
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Address Line | 2115 BOYCE ST APT A
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City | ALEXANDRIA
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State | LA
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Zip | 71301-3708
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Country | US
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Telephone | 504-505-0632
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 74901
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License Number State | TX
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