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General NPI Number Information
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NPI Number | 1679955462
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Entity Type | Individual
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Provider Name | DESIREE J.E. OSBY CNM
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Gender | Female
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Dates
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Enumeration Date | 06/29/2015
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 20 S 3RD ST STE 210
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City | COLUMBUS
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State | OH
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Zip | 43215-4206
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Country | US
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Telephone | 888-731-8994
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Fax |
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Provider Business Mailing Address
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Address Line | 20 S 3RD ST STE 210
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City | COLUMBUS
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State | OH
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Zip | 43215-4206
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Country | US
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Telephone | 888-731-8994
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | APRNCNP.020755
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | MW010644
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | COA17863NM
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN365269
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRNCNP020755
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License Number State | OH
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