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NPI 1003308289

NPI 1003308289 : OMAR OSMAN MD : LEXINGTON, KY

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General NPI Number Information
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    NPI Number           |    1003308289
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    Entity Type          |    Individual 
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    Provider Name        |    OMAR OSMAN MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/04/2018
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    Last Update Date     |    06/24/2024
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Provider Practice Location Address
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    Address Line         |    800 ROSE ST 
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    City                 |    LEXINGTON
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    State                |    KY
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    Zip                  |    40536-4775
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    Country              |    US
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    Telephone            |    859-323-1691
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    Fax                  |    859-323-1700
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Provider Business Mailing Address
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    Address Line         |    1307 FEDERAL ST STE B300 
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15212-4775
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    Country              |    US
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    Telephone            |    412-359-3751
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    MD475683
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    59700
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    License Number State |    KY
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Taxonomy #3
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    Taxonomy Code        |    207RN0300X
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    Taxonomy Name        |    Nephrology Physician
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    License Number       |    59700
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    License Number State |    KY
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