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General NPI Number Information
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NPI Number | 1508538224
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Entity Type | Individual
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Provider Name | DEMIR OSMANOVIC NP
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Gender | Male
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Dates
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Enumeration Date | 09/30/2021
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 120 PELHAM LN
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City | ANDERSON
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State | SC
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Zip | 29621-3335
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Country | US
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Telephone | 864-844-9432
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Fax |
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Provider Business Mailing Address
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Address Line | 303 KEITH AVE
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City | ANDERSON
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State | SC
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Zip | 29625-1811
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Country | US
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Telephone | 678-920-0867
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.25135
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN277778
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License Number State | GA
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