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General NPI Number Information
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NPI Number | 1710712633
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Entity Type | Individual
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Provider Name | SEBASTIAN OSORIO PT
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Gender | Male
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Dates
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Enumeration Date | 09/03/2024
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 350 NW 70TH AVE STE A
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City | PLANTATION
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State | FL
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Zip | 33317-2349
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Country | US
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Telephone | 954-741-2221
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Fax | 954-741-2155
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Provider Business Mailing Address
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Address Line | 430 COMMODORE DR APT 104
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City | PLANTATION
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State | FL
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Zip | 33325-2134
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Country | US
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Telephone | 954-470-0575
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT42279
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License Number State | FL
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