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General NPI Number Information
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NPI Number | 1942557863
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Entity Type | Individual
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Provider Name | HENRY OSSO-RIVERA M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/09/2012
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Last Update Date | 10/10/2022
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Provider Practice Location Address
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Address Line | 23410 GRAND RESERVE DR STE 1102
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City | KATY
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State | TX
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Zip | 77494-4984
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Country | US
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Telephone | 346-387-6568
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Fax | 346-387-6549
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Provider Business Mailing Address
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Address Line | 8402 FULSHEAR RUN TRCE
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City | RICHMOND
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State | TX
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Zip | 77406-2540
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Country | US
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Telephone |
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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 | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number | 2130
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number | R6068
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | 2130
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | R6068
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License Number State | TX
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