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General NPI Number Information
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NPI Number | 1154400695
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Entity Type | Individual
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Provider Name | ROBERT EVAN OSMAN M.A.
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Gender | Male
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 412 AVENUE OF THE AMERICAS SUITE 707
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City | NEW YORK
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State | NY
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Zip | 10011-8409
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Country | US
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Telephone | 212-677-4531
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Fax |
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Provider Business Mailing Address
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Address Line | 140 W 79TH ST APARTMENT 11E
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City | NEW YORK
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State | NY
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Zip | 10024-6421
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Country | US
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Telephone | 212-721-5058
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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 | 103TP0814X
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Taxonomy Name | Psychoanalysis Psychologist
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License Number | 000427
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License Number State | NY
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