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General NPI Number Information
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NPI Number | 1275897332
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Entity Type | Individual
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Provider Name | AARON JOSEPH OSGA D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/03/2012
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Last Update Date | 07/30/2018
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Provider Practice Location Address
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Address Line | 8035 S RAINBOW BLVD STE 102
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City | LAS VEGAS
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State | NV
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Zip | 89139-6495
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Country | US
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Telephone | 702-896-7211
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Fax |
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Provider Business Mailing Address
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Address Line | 8035 S RAINBOW BLVD STE 102
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City | LAS VEGAS
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State | NV
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Zip | 89139-6495
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Country | US
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Telephone | 702-896-7211
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2016031541
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019.029595
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7042
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License Number State | NV
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