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General NPI Number Information
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NPI Number | 1912944042
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Entity Type | Individual
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Provider Name | JAMES WILLIAM OSBORNE D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 05/19/2015
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Provider Practice Location Address
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Address Line | 3201 W PEORIA AVE SUITE D704
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City | PHOENIX
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State | AZ
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Zip | 85029-4608
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Country | US
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Telephone | 602-843-4844
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Fax | 602-843-4846
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Provider Business Mailing Address
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Address Line | 3201 W PEORIA AVE SUITE D704
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City | PHOENIX
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State | AZ
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Zip | 85029-4608
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Country | US
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Telephone | 602-843-4844
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Fax | 602-843-4846
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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 | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | AZ4439
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License Number State | AZ
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