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General NPI Number Information
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NPI Number | 1023532892
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Entity Type | Individual
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Provider Name | NIMO OSMAN
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Gender | Female
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Dates
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Enumeration Date | 08/02/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1821 UNIVERSITY AVE W STE S336
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City | SAINT PAUL
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State | MN
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Zip | 55104-2876
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Country | US
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Telephone | 651-757-7981
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Fax |
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Provider Business Mailing Address
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Address Line | 1821 UNIVERSITY AVE W STE S336
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City | SAINT PAUL
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State | MN
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Zip | 55104-2876
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Country | US
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Telephone | 651-757-7981
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 1085372-1-HCBS
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number | 1085372-1-HCBS
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 1058372-1-HCBS
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number | 1085372-1-HCBS
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License Number State | MN
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