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General NPI Number Information
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NPI Number | 1346387388
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Entity Type | Individual
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Provider Name | STEPHEN OSAGUONA M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 2601 LAUREL ST STE 230
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City | COLUMBIA
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State | SC
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Zip | 29204-2034
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Country | US
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Telephone | 843-233-3700
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Fax | 877-460-4542
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Provider Business Mailing Address
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Address Line | 2601 LAUREL ST STE 230
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City | COLUMBIA
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State | SC
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Zip | 29204-2034
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Country | US
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Telephone | 843-233-3700
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Fax | 877-460-4542
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 29582
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 44735
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 2010-01400
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 29582
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License Number State | SC
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