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General NPI Number Information
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NPI Number | 1942429485
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Entity Type | Individual
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Provider Name | NADIR ISMAT ISHAG OSMAN M.D, M.S
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Gender | Male
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 14540 OLD SAINT AUGUSTINE RD STE 2207
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City | JACKSONVILLE
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State | FL
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Zip | 32258-7419
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Country | US
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Telephone | 904-224-8090
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Fax | 904-391-5507
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Provider Business Mailing Address
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Address Line | PO BOX 746649
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City | ATLANTA
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State | GA
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Zip | 30374-6649
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Country | US
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Telephone | 904-202-2092
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Fax | 904-376-4075
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 35130717
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME110491
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 85431
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | ME110491
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License Number State | FL
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