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General NPI Number Information
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NPI Number | 1114725520
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Entity Type | Individual
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Provider Name | EDWARD DAVID OSBORN JR. CNP
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Gender | Male
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 303 E TOWN ST
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City | COLUMBUS
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State | OH
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Zip | 43215-4601
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Country | US
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Telephone | 614-788-5000
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Fax | 614-788-5089
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Provider Business Mailing Address
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Address Line | PO BOX 7527
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City | DUBLIN
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State | OH
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Zip | 43017-0727
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Country | US
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Telephone |
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Fax | 614-544-6370
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN.CNP.0039399
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License Number State | OH
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