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General NPI Number Information
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NPI Number | 1275324105
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Entity Type | Individual
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Provider Name | OSEREMEN AIWORIA
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Gender | Female
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 331 N MAITLAND AVE STE C3
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City | MAITLAND
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State | FL
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Zip | 32751-4754
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Country | US
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Telephone | 407-634-3515
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Fax | 920-696-8797
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Provider Business Mailing Address
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Address Line | 131 MEADOW WOODS LN
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City | NICEVILLE
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State | FL
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Zip | 32578-3938
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Country | US
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Telephone | 407-221-7708
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Fax |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11039411
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License Number State | FL
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