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General NPI Number Information
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NPI Number | 1407085020
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Entity Type | Individual
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Provider Name | KEVIN PAUL OSBORNE DMD
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Gender | Male
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Dates
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Enumeration Date | 07/02/2009
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 2334 BOCA CHICA BLVD #200
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City | BROWNSVILLE
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State | TX
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Zip | 78521-2230
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Country | US
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Telephone | 956-546-2973
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Fax | 956-546-1342
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Provider Business Mailing Address
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Address Line | 2334 BOCA CHICA BLVD #200
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City | BROWNSVILLE
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State | TX
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Zip | 78521-2230
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Country | US
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Telephone | 956-546-2983
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Fax | 956-546-1342
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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 | D7809
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License Number State | AZ
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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 | 25008
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License Number State | TX
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