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NPI 1205756947

NPI 1205756947 : OSMON PEDIATRIC THERAPY AND WELLNESS, INC. : DULUTH, GA

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General NPI Number Information
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    NPI Number           |    1205756947
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    Entity Type          |    Organization 
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    Legal Business Name  |    OSMON PEDIATRIC THERAPY AND WELLNESS, INC. 
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Dates
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    Enumeration Date     |    07/21/2026
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    Last Update Date     |    07/21/2026
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Provider Practice Location Address
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    Address Line         |    3195 BUFORD HWY STE 5&9 
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    City                 |    DULUTH
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    State                |    GA
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    Zip                  |    30096-5707
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    Country              |    US
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    Telephone            |    678-467-3289
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4015 LONGLAKE DR 
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    City                 |    DULUTH
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    State                |    GA
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    Zip                  |    30097-2220
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    Country              |    US
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    Telephone            |    678-467-3289
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    DR. RABIA  SHAHBAZ 
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    Credential           |    PHD
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    Telephone            |    678-467-3289
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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