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General NPI Number Information
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NPI Number | 1093352502
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Entity Type | Organization
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Legal Business Name | KATIEOSTROMMD
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Dates
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Enumeration Date | 12/03/2019
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 4129 BARTLETT ST
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City | HOMER
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State | AK
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Zip | 99603-7002
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Country | US
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Telephone | 907-435-0555
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Fax | 833-992-2172
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Provider Business Mailing Address
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Address Line | 205 W FAIRVIEW
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City | HOMER
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State | AK
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Zip | 99603
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Country | US
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Telephone | 907-435-0555
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Fax | 907-435-0559
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | PAMELA CROSS
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Credential |
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Telephone | 907-921-2307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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