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General NPI Number Information
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NPI Number | 1649137787
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Entity Type | Individual
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Provider Name | OSAMUDIAMEN EDEBIRI
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Gender | Female
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 221 RIVER ST STE 9
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City | HOBOKEN
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State | NJ
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Zip | 07030-5990
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Country | US
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Telephone | 857-312-3965
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Fax |
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Provider Business Mailing Address
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Address Line | 398 HILLSIDE AVE
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City | ORANGE
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State | NJ
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Zip | 07050-2118
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Country | US
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Telephone | 857-312-3965
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NR21370800
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License Number State | NJ
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