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General NPI Number Information
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NPI Number | 1750348561
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Entity Type | Organization
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Legal Business Name | JAMES R OSBORNE DDS PA
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2511 OAKCREST AVE
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City | GREENSBORO
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State | NC
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Zip | 27408
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Country | US
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Telephone | 336-282-2868
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Fax | 336-282-8144
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Provider Business Mailing Address
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Address Line | 2511 OAKCREST AVE
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City | GREENSBORO
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State | NC
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Zip | 27408
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Country | US
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Telephone | 336-282-2868
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Fax | 336-282-8144
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. JOAN HOOVER OSBORNE
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Credential | MBA
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Telephone | 336-282-2868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 4103
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License Number State | NC
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