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General NPI Number Information
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NPI Number | 1235396763
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Entity Type | Individual
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Provider Name | TANI C. OSORIO M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 02/18/2022
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Provider Practice Location Address
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Address Line | 3882 SAND DUNE CT
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City | DESTIN
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State | FL
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Zip | 32541-3210
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Country | US
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Telephone | 910-551-3337
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Fax |
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Provider Business Mailing Address
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Address Line | 520 SOUTHWICK DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-2641
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Country | US
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Telephone | 910-551-3337
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Fax | 910-864-2705
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 7846
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License Number State | NC
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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 | 31490
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA11272
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License Number State | FL
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