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General NPI Number Information
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NPI Number | 1235524802
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Entity Type | Individual
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Provider Name | JOSEPH ELDON OSTLER M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/01/2015
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Last Update Date | 02/09/2024
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Provider Practice Location Address
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Address Line | 1840 CANYON CREST DR
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City | TWIN FALLS
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State | ID
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Zip | 83301-3007
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Country | US
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Telephone | 208-814-7100
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Fax | 208-814-7138
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Provider Business Mailing Address
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Address Line | 1840 CANYON CREST DR
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City | TWIN FALLS
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State | ID
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Zip | 83301-3007
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Country | US
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Telephone | 208-814-7100
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Fax | 208-814-7138
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | M-17252
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License Number State | ID
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