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General NPI Number Information
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NPI Number | 1255397816
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Entity Type | Individual
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Provider Name | DANIEL A. OSIMANI MD
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Gender | Male
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Dates
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Enumeration Date | 04/24/2006
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Last Update Date | 03/04/2022
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Provider Practice Location Address
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Address Line | 1326 EISENHOWER DR BLDG 2
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City | SAVANNAH
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State | GA
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Zip | 31406-3928
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Country | US
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Telephone | 912-527-5300
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Fax | 912-527-5154
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Provider Business Mailing Address
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Address Line | ST.JOE CANDLER- MANAGED CARE DEPT 836 EAST 65TH STREET, BLDG 22
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City | SAVANNAH
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State | GA
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Zip | 31405
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Country | US
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Telephone | 912-527-5300
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Fax | 912-527-5154
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 2017-02347
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0101236468
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 079064
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License Number State | GA
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