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General NPI Number Information
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NPI Number | 1952541997
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Entity Type | Individual
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Provider Name | MICHAEL D. OSBORNE D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/04/2009
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Last Update Date | 03/04/2009
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Provider Practice Location Address
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Address Line | 701 BURKESVILLE RD
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City | ALBANY
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State | KY
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Zip | 42602-1654
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Country | US
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Telephone | 606-387-5793
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Fax | 606-387-0519
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Provider Business Mailing Address
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Address Line | 262 E STEVE WARINER DR
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City | RUSSELL SPRINGS
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State | KY
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Zip | 42642-4225
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Country | US
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Telephone | 270-866-7246
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Fax | 270-866-7266
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5159
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License Number State | KY
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