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NPI Code Detail

MEDICARE: MIRIAM OSORIO

MEDICARE:   MIRIAM  OSORIO
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
1101Y00000XCounselor

Other Identifiers

General Provider Information

NPI Number : 1558748822
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRIAM OSORIO
Provider Business Mailing Address
First Line : 8832 PINE PITCH DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89143-4440
Country : US
Telephone Number : 702-576-5308
Fax Number :
Provider Business Practice Location Address
First Line : 8832 PINE PITCH DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89143-4440
Country : US
Telephone Number : 702-576-5308
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2015
Last Update Date : 05/06/2015

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Directions to “ MIRIAM OSORIO ” Practice Location

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