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General NPI Number Information
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NPI Number | 1205989266
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Entity Type | Individual
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Provider Name | ROXANA M. VAN OSTRAN C.R.N.P.
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Gender | Female
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Dates
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Enumeration Date | 01/20/2007
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Last Update Date | 09/17/2014
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Provider Practice Location Address
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Address Line | 301 S. SEVENTH AVENUE SUITE 210
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City | WEST READING
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State | PA
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Zip | 19611
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Country | US
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Telephone | 484-628-4656
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Fax | 484-628-4657
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Provider Business Mailing Address
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Address Line | 301 S. SEVENTH AVE SUITE 210
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City | WEST READING
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State | PA
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Zip | 19611
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Country | US
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Telephone | 484-628-4656
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Fax | 484-628-4657
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN572695
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License Number State | PA
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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 | SP013637
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License Number State | PA
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