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General NPI Number Information
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NPI Number | 1689500795
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Entity Type | Individual
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Provider Name | ELVIRA OSMANOVIC
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Gender | Female
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Dates
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Enumeration Date | 06/18/2026
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Last Update Date | 06/18/2026
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Provider Practice Location Address
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Address Line | 120 WEBSTER SQUARE RD
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City | BERLIN
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State | CT
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Zip | 06037-2329
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Country | US
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Telephone | 860-420-3800
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Fax | 860-420-3801
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Provider Business Mailing Address
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Address Line | 19 HEWITT ST APT E APT E
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City | WETHERSFIELD
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State | CT
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Zip | 06109-4312
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Country | US
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Telephone |
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | CT
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