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General NPI Number Information
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NPI Number | 1255456927
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Entity Type | Individual
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Provider Name | DARLENE M OSIPUK MD
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 420 BOULEVARD SUITE 106
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City | MOUNTAIN LAKES
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State | NJ
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Zip | 07046-1742
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Country | US
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Telephone | 973-263-8282
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Fax | 973-263-3141
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Provider Business Mailing Address
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Address Line | 420 BOULEVARD SUITE 106
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City | MOUNTAIN LAKES
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State | NJ
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Zip | 07046-1742
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Country | US
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Telephone | 973-263-8282
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Fax | 973-263-3141
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA03999900
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License Number State | NJ
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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 | 148729-1
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License Number State | NY
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