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General NPI Number Information
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NPI Number | 1184859365
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Entity Type | Individual
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Provider Name | JOSEPH M OSSORIO MD
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Gender | Male
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Dates
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Enumeration Date | 05/18/2009
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Last Update Date | 07/01/2011
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Provider Practice Location Address
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Address Line | 2464 N. UNIVERSITY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024
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Country | US
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Telephone | 305-267-7480
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Fax | 305-267-7422
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Provider Business Mailing Address
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Address Line | P.O. BOX 562966
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City | MIAMI
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State | FL
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Zip | 33156
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Country | US
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Telephone | 954-885-9874
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Fax | 954-885-9876
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | ME0048178
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License Number State | FL
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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 | ME48178
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License Number State | FL
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