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General NPI Number Information
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NPI Number | 1063665727
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Entity Type | Individual
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Provider Name | NINA LEIGH OSBORNE MOT
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Gender | Female
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 06/12/2013
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Provider Practice Location Address
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Address Line | 154 HINDMAN RD BUTLER
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City | BUTLER
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State | PA
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Zip | 16001-2417
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Country | US
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Telephone | 724-282-6906
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Fax |
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Provider Business Mailing Address
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Address Line | 301 GARFIELD ST
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City | KITTANNING
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State | PA
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Zip | 16201-2124
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Country | US
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Telephone | 724-664-7138
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OC010422
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License Number State | PA
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