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General NPI Number Information
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NPI Number | 1215050265
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Entity Type | Individual
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Provider Name | LYNN VAN OST ATC, PT, RN
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Gender | Female
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 310 STATE ROUTE 31
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City | FLEMINGTON
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State | NJ
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Zip | 08822-5741
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Country | US
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Telephone | 908-782-1095
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Fax |
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Provider Business Mailing Address
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Address Line | 2 RIVERVIEW DR
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City | WEST TRENTON
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State | NJ
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Zip | 08628-2618
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Country | US
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Telephone | 609-538-8941
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA00491200
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License Number State | NJ
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