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General NPI Number Information
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NPI Number | 1851837157
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Entity Type | Individual
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Provider Name | KEITH OSO ENGEL LCSW, BCD
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Gender | Male
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Dates
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Enumeration Date | 01/10/2017
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 3530 N COURTHOUSE RD
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City | PROVIDENCE FORGE
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State | VA
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Zip | 23140-3408
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Country | US
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Telephone | 804-409-7525
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Fax | 804-315-9380
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Provider Business Mailing Address
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Address Line | 1731 UPLAND RD
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City | WAXAHACHIE
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State | TX
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Zip | 75165-1677
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Country | US
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Telephone | 804-409-7525
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Fax | 804-315-9380
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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 | 08930124830
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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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 | 0904012219
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License Number State | VA
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