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General NPI Number Information
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NPI Number | 1932267853
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Entity Type | Individual
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Provider Name | CONSTANCE M OSIECKI PC
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Gender | Female
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1943 OXFORD ST
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City | ERIE
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State | PA
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Zip | 16505-4648
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Country | US
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Telephone | 814-882-4300
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Fax | 814-725-9189
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Provider Business Mailing Address
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Address Line | 1943 OXFORD STREET
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City | ERIE
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State | PA
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Zip | 16505
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Country | US
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Telephone | 814-882-4300
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Fax | 814-725-9189
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | PC003806
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License Number State | PA
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