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General NPI Number Information
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NPI Number | 1144569203
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Entity Type | Individual
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Provider Name | VERNON L OSBURN NP
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Gender | Male
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Dates
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Enumeration Date | 02/11/2013
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 8101 PENDLETON PIKE STE E
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City | INDIANAPOLIS
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State | IN
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Zip | 46226-4888
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Country | US
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Telephone | 317-561-3177
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Fax | 877-961-4275
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Provider Business Mailing Address
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Address Line | 6101 BLUE LAGOON DR STE 200
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City | MIAMI
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State | FL
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Zip | 33126-3168
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Country | US
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Telephone | 317-561-3177
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Fax | 877-961-4275
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28147623A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71004358A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 71004358A
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License Number State | IN
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