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General NPI Number Information
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NPI Number | 1992518690
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Entity Type | Individual
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Provider Name | NICOLE OBIH LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 6710 LAUREL BOWIE RD UNIT 682
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City | BOWIE
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State | MD
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Zip | 20718-7516
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Country | US
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Telephone | 404-530-9790
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Fax |
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Provider Business Mailing Address
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Address Line | 2022 RIVERKNOLL CT
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City | RICHMOND
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State | TX
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Zip | 77469-5646
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Country | US
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Telephone |
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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 | 64147
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License Number State | TX
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