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General NPI Number Information
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NPI Number | 1821119298
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Entity Type | Organization
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Legal Business Name | DARLENE M. OSIPUK, MD, PA
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 420 BOULEVARD SUITE 106
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City | MOUNTAIN LAKES
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State | NJ
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Zip | 07046-1742
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Country | US
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Telephone | 973-263-8282
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Fax | 973-263-3141
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Provider Business Mailing Address
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Address Line | 420 BOULEVARD SUITE 106
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City | MOUNTAIN LAKES
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State | NJ
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Zip | 07046-1742
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Country | US
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Telephone | 973-263-8282
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Fax | 973-263-3141
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DARLENE M OSIPUK
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Credential | MD
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Telephone | 973-263-8282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA03999900
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License Number State | NJ
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