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General NPI Number Information
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NPI Number | 1790299550
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Entity Type | Individual
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Provider Name | GABRIEL E OSORIO LMT
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Gender | Male
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Dates
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Enumeration Date | 11/30/2017
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Last Update Date | 09/07/2021
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Provider Practice Location Address
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Address Line | 14728 SW 123RD AVE
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City | MIAMI
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State | FL
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Zip | 33186-7428
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Country | US
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Telephone | 305-321-0258
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Fax | 305-259-0788
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Provider Business Mailing Address
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Address Line | 14728 SW 123RD AVE
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City | MIAMI
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State | FL
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Zip | 33186-7428
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Country | US
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Telephone | 305-321-0258
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Fax | 305-259-0788
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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