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General NPI Number Information
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NPI Number | 1841370889
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Entity Type | Individual
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Provider Name | TAMI LYNN OSBURN LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 1123 VERMONT AVE
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City | ALAMOGORDO
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State | NM
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Zip | 88310-6340
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Country | US
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Telephone | 575-415-9270
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Fax | 208-978-7050
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Provider Business Mailing Address
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Address Line | PO BOX 1512
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City | ALAMOGORDO
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State | NM
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Zip | 88311-1512
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Country | US
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Telephone | 402-350-0612
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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 | I-06310
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License Number State | NM
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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 | C-06310
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License Number State | NM
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