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General NPI Number Information
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NPI Number | 1578069142
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Entity Type | Individual
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Provider Name | NEBIYU SAID OSMAN
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Gender | Male
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Dates
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Enumeration Date | 04/03/2018
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 1 LAKE ST
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City | NEW BRITAIN
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State | CT
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Zip | 06052-1396
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Country | US
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Telephone | 860-832-4666
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Fax | 860-348-4931
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Provider Business Mailing Address
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Address Line | 263 FARMINGTON AVE
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City | FARMINGTON
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State | CT
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Zip | 06030-1921
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Country | US
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Telephone | 860-679-2147
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Fax | 860-679-4624
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 77222
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 77222
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License Number State | CT
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