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General NPI Number Information
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NPI Number | 1013260652
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Entity Type | Individual
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Provider Name | FENDIA OSIRUS
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Gender | Female
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Dates
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Enumeration Date | 10/19/2012
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Last Update Date | 04/11/2026
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Provider Practice Location Address
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Address Line | 4047 95TH ST APT B
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City | ELMHURST
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State | NY
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Zip | 11373-1715
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Country | US
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Telephone | 347-206-5182
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Fax |
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Provider Business Mailing Address
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Address Line | 4047 95TH ST APT B
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City | ELMHURST
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State | NY
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Zip | 11373-1715
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Country | US
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Telephone | 646-559-6699
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 661380
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 310348
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License Number State | NY
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