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General NPI Number Information
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NPI Number | 1043473861
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Entity Type | Individual
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Provider Name | ERIC KARL OSBORNE D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/02/2008
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Last Update Date | 09/09/2015
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Provider Practice Location Address
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Address Line | 193 MAIN ST
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City | NORWAY
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State | ME
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Zip | 04268-5645
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Country | US
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Telephone | 207-743-2544
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Fax | 207-743-5863
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Provider Business Mailing Address
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Address Line | 301C US ROUTE 1
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City | SCARBOROUGH
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State | ME
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Zip | 04074-9701
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Country | US
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Telephone | 207-396-8600
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Fax | 207-396-8632
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | DO2130
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License Number State | ME
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