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General NPI Number Information
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NPI Number | 1427019728
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Entity Type | Individual
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Provider Name | OSMANY DEANGELO DO
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Gender | Male
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 02/04/2021
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Provider Practice Location Address
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Address Line | 7867 N KENDALL DR STE 130
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City | MIAMI
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State | FL
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Zip | 33156-7736
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Country | US
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Telephone | 305-598-1555
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Fax | 305-545-9562
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Provider Business Mailing Address
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Address Line | 7867 N KENDALL DR STE 130
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City | MIAMI
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State | FL
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Zip | 33156-7736
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Country | US
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Telephone | 305-598-1555
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Fax | 305-545-9562
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 9245
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | OS9245
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License Number State | FL
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