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General NPI Number Information
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NPI Number | 1093371122
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Entity Type | Organization
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Legal Business Name | TANYA M OSWALD MD PROFESSIONAL LLC
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Dates
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Enumeration Date | 05/14/2019
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 13111 E BRIARWOOD AVE STE 100
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City | CENTENNIAL
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State | CO
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Zip | 80112-3925
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Country | US
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Telephone | 720-408-5805
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Fax | 970-837-7199
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Provider Business Mailing Address
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Address Line | 13111 E BRIARWOOD AVE STE 100
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City | CENTENNIAL
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State | CO
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Zip | 80112-3925
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Country | US
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Telephone | 720-408-5805
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Fax | 970-837-7199
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | TANYA OSWALD
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Credential | MD
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Telephone | 303-549-9665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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