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NPI Code Detail

MEDICARE: MS. FOOS M OSMAN LPN

MEDICARE: MS. FOOS M OSMAN LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NurseLP046848AZ

General Provider Information

NPI Number : 1316372048
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. FOOS M OSMAN LPN
Provider Business Mailing Address
First Line : 4612 N 28TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-4931
Country : US
Telephone Number : 602-764-7124
Fax Number : 602-764-7090
Provider Business Practice Location Address
First Line : 4612 N 28TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-4931
Country : US
Telephone Number : 602-764-7124
Fax Number : 602-764-7090
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2013
Last Update Date : 09/20/2013

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