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NPI 1649136961

NPI 1649136961 : OMAR OSSMAN : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1649136961
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    Entity Type          |    Individual 
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    Provider Name        |    OMAR OSSMAN
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/30/2025
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    Last Update Date     |    12/30/2025
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Provider Practice Location Address
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    Address Line         |    334B CENTRAL AVE 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11221-3819
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    Country              |    US
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    Telephone            |    718-942-5855
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    332 BADEN PL 
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    City                 |    STATEN ISLAND
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    State                |    NY
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    Zip                  |    10306-6043
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    Country              |    US
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    Telephone            |    929-353-8181
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    073632
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    License Number State |    NY
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