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General NPI Number Information
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NPI Number | 1487311346
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Entity Type | Individual
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Provider Name | SHUTO YASSIN OSMAN
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Gender | Female
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Dates
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Enumeration Date | 11/25/2021
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 3412 ELMWOOD CT
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City | SACHSE
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State | TX
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Zip | 75048-4484
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Country | US
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Telephone | 206-778-7861
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Fax |
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Provider Business Mailing Address
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Address Line | 319 LOVE BIRD LN
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City | MURPHY
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State | TX
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Zip | 75094-3266
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Country | US
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Telephone | 206-778-7861
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State | TX
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