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General NPI Number Information
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NPI Number | 1760982185
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Entity Type | Individual
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Provider Name | OSMANI PLACENCIA
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Gender | Male
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Dates
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Enumeration Date | 02/13/2018
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Last Update Date | 06/15/2022
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Provider Practice Location Address
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Address Line | 3157 N UNIVERSITY DR STE 103
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City | HOLLYWOOD
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State | FL
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Zip | 33024-2258
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Country | US
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Telephone | 954-322-8985
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Fax |
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Provider Business Mailing Address
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Address Line | 16325 NW 11TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1121
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Country | US
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Telephone | 786-419-9192
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9243523
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License Number State | FL
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