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General NPI Number Information
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NPI Number | 1770273591
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Entity Type | Individual
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Provider Name | MARISSA L OSORIO WHNP
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Gender | Female
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Dates
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Enumeration Date | 05/15/2023
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 1021 MAIN ST STE 102
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City | WINCHESTER
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State | MA
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Zip | 01890-1971
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Country | US
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Telephone | 781-721-4701
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Fax |
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Provider Business Mailing Address
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Address Line | 103 FOX RD UNIT 623
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City | WALTHAM
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State | MA
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Zip | 02451-0206
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Country | US
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Telephone | 617-455-5365
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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 | RN2328964
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License Number State | MA
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