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General NPI Number Information
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NPI Number | 1831944834
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Entity Type | Individual
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Provider Name | NILY OSMAN MD
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Gender | Female
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Dates
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Enumeration Date | 04/22/2024
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 2811 WILSHIRE BLVD STE 790
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City | SANTA MONICA
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State | CA
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Zip | 90403-4805
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Country | US
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Telephone | 310-453-6005
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Fax | 310-829-1389
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Provider Business Mailing Address
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Address Line | 2811 WILSHIRE BLVD STE 790
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City | SANTA MONICA
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State | CA
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Zip | 90403-4805
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Country | US
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Telephone | 310-453-6005
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Fax | 310-829-1389
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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 | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | A195420
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License Number State | CA
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