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General NPI Number Information
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NPI Number | 1790186302
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Entity Type | Individual
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Provider Name | KATLYNN OSBORN LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/15/2014
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 230 E 22ND ST STE 4
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City | FREMONT
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State | NE
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Zip | 68025-2661
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Country | US
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Telephone | 402-727-1592
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Fax | 402-727-4288
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Provider Business Mailing Address
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Address Line | 1090 S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34236-9116
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Country | US
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Telephone | 904-605-4986
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Fax | 941-460-5599
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 10360
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1639
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1697
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License Number State | NE
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