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NPI 1215112875

NPI 1215112875 : KRISTA OSCHMANN, LLC : FORT COLLINS, CO

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General NPI Number Information
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    NPI Number           |    1215112875
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    Entity Type          |    Organization 
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    Legal Business Name  |    KRISTA OSCHMANN, LLC 
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Dates
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    Enumeration Date     |    01/02/2008
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    Last Update Date     |    01/02/2008
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Provider Practice Location Address
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    Address Line         |    1314 REEVES DR 
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    City                 |    FORT COLLINS
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    State                |    CO
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    Zip                  |    80526-9647
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    Country              |    US
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    Telephone            |    970-980-9377
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1314 REEVES DR 
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    City                 |    FORT COLLINS
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    State                |    CO
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    Zip                  |    80526-9647
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    Country              |    US
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    Telephone            |    970-980-9377
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. KRISTA  OSCHMANN 
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    Credential           |    OTR
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    Telephone            |    970-980-9377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    
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    License Number State |    
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