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General NPI Number Information
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NPI Number | 1992525398
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Entity Type | Individual
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Provider Name | EMILY ANN OSISEK
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Gender | Female
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Dates
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Enumeration Date | 10/11/2024
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 1660 E MURRAY HOLLADAY RD
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City | HOLLADAY
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State | UT
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Zip | 84117-5008
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Country | US
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Telephone | 801-419-0705
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Fax | 801-606-7902
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Provider Business Mailing Address
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Address Line | 7614 SOCIETY DR
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City | CLAYMONT
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State | DE
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Zip | 19703-1715
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Country | US
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Telephone | 607-743-5978
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Fax | 801-606-7902
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | LG-0012973
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 14210652-4405
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License Number State | UT
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