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NPI 1841722139

NPI 1841722139 : OSAHANOR VANESSA OSAGIE NP-C : ELMSFORD, NY

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General NPI Number Information
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    NPI Number           |    1841722139
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    Entity Type          |    Individual 
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    Provider Name        |    OSAHANOR VANESSA OSAGIE NP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/28/2017
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    Last Update Date     |    02/04/2026
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Provider Practice Location Address
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    Address Line         |    339 TARRYTOWN RD # 1007 
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    City                 |    ELMSFORD
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    State                |    NY
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    Zip                  |    10523-3417
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    Country              |    US
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    Telephone            |    914-222-3613
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    Fax                  |    914-222-8893
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Provider Business Mailing Address
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    Address Line         |    339 TARRYTOWN RD # 1007 
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    City                 |    ELMSFORD
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    State                |    NY
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    Zip                  |    10523-3417
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    Country              |    US
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    Telephone            |    914-222-3134
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    F0117137
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    408631
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    License Number State |    NY
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