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General NPI Number Information
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NPI Number | 1891815833
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Entity Type | Individual
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Provider Name | MICHAEL M OSIT ED.D.
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Gender | Male
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Dates
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Enumeration Date | 03/31/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5 MOUNTAIN BLVD SUITE 4
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City | WARREN
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State | NJ
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Zip | 07059-5650
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Country | US
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Telephone | 908-757-1399
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Fax |
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Provider Business Mailing Address
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Address Line | 7 LINDA LN
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-3024
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Country | US
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Telephone | 973-912-9620
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2418
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License Number State | NJ
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