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General NPI Number Information
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NPI Number | 1932125127
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Entity Type | Individual
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Provider Name | MAJA OSTERMAN MD
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Gender | Female
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 2715 COLONIAL DR
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City | COLUMBIA
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State | SC
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Zip | 29203-6818
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Country | US
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Telephone | 803-898-4777
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Fax | 803-898-4855
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Provider Business Mailing Address
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Address Line | 1135 AUTUMN CIR
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City | COLUMBIA
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State | SC
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Zip | 29206-4986
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Country | US
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Telephone | 803-790-1210
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 17412
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License Number State | SC
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