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General NPI Number Information
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NPI Number | 1144422627
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Entity Type | Individual
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Provider Name | ROBYN ALYSE OSROW M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 01/14/2021
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Provider Practice Location Address
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Address Line | 1500 WATERS PL
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City | BRONX
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State | NY
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Zip | 10461-2723
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Country | US
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Telephone | 718-931-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 11114 SW VITALIA CT
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34987-2836
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Country | US
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Telephone | 631-793-4265
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 217677
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 217677
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License Number State | NY
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