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General NPI Number Information
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NPI Number | 1841678653
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Entity Type | Individual
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Provider Name | OMAR OSMAN
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Gender | Male
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Dates
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Enumeration Date | 05/12/2015
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 24 OLD ETNA RD
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City | LEBANON
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State | NH
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Zip | 03766-1937
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Country | US
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Telephone | 603-448-2234
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Fax |
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Provider Business Mailing Address
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Address Line | 415 W GOLF RD STE 26
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-3923
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Country | US
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Telephone | 855-611-8783
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Fax | 224-236-4900
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 2020-04642
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 036.147870
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License Number State | IL
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