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General NPI Number Information
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NPI Number | 1598036790
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Entity Type | Organization
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Legal Business Name | JOSEPH F. OSMANSKI, OD, INC
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Dates
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Enumeration Date | 01/19/2012
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Last Update Date | 01/19/2012
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Provider Practice Location Address
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Address Line | 1971 MINERAL SPRING AVENUE
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City | N. PROVIDENCE
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State | RI
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Zip | 02904
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Country | US
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Telephone | 401-232-0941
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Fax |
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Provider Business Mailing Address
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Address Line | 1971 MINERAL SPRING AVENUE
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City | N. PROVIDENCE
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State | RI
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Zip | 02904
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Country | US
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Telephone | 401-232-0941
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | JOSEPH F. OSAMANSKI
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Credential | OD
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Telephone | 401-232-0941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | ODTG00503
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License Number State | RI
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