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General NPI Number Information
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NPI Number | 1831044429
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Entity Type | Individual
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Provider Name | MALIK OSBORNE
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Gender | Male
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Dates
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Enumeration Date | 02/28/2026
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Last Update Date | 02/28/2026
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Provider Practice Location Address
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Address Line | 501 VILLAGE AVE STE 204
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City | YORKTOWN
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State | VA
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Zip | 23693-5657
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Country | US
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Telephone | 757-947-8419
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Fax |
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Provider Business Mailing Address
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Address Line | 530 LOGAN PL APT 10
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City | NEWPORT NEWS
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State | VA
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Zip | 23601-3337
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Country | US
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Telephone | 757-947-8419
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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 | 0906017415
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License Number State | VA
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