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General NPI Number Information
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NPI Number | 1093105199
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Entity Type | Individual
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Provider Name | GABRIEL D OSORIO PA
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Gender | Male
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Dates
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Enumeration Date | 01/27/2015
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 2010 NW 150TH AVE STE 100
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2888
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Country | US
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Telephone | 954-447-5206
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Fax |
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Provider Business Mailing Address
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Address Line | 2010 NW 150TH AVE STE 100
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2888
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Country | US
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Telephone | 954-447-5206
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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