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General NPI Number Information
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NPI Number | 1073889382
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Entity Type | Individual
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Provider Name | ANASTASIA OSIPOVA MD,PHD
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Gender | Female
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Dates
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Enumeration Date | 03/30/2012
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | MARSHFIELD CLINIC 1000 N OAK AVENUE
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City | MARSHFIELD
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State | WI
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Zip | 54449-5703
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Country | US
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Telephone | 715-387-5511
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Fax |
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Provider Business Mailing Address
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Address Line | 10400 HALIGUS RD
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City | HUNTLEY
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State | IL
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Zip | 60142-9553
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Country | US
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Telephone | 815-356-2323
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Fax | 847-802-7201
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 036127848
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 63050-20
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036127848
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License Number State | IL
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