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General NPI Number Information
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NPI Number | 1003263625
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Entity Type | Individual
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Provider Name | GRETCHEN OSTRANDER ATC
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Gender | Female
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Dates
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Enumeration Date | 05/24/2016
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 535 E 70TH ST
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City | NEW YORK
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State | NY
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Zip | 10021-4898
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Country | US
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Telephone | 203-257-5414
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Fax |
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Provider Business Mailing Address
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Address Line | 68 MAIN ST UNIT 4-2B
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City | NORWALK
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State | CT
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Zip | 06851-4726
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Country | US
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Telephone | 203-257-5414
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 002840-1
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License Number State | NY
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