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General NPI Number Information
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NPI Number | 1245230242
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Entity Type | Organization
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Legal Business Name | AVI A OSTROWSKY MD LTD
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Dates
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Enumeration Date | 08/01/2005
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Last Update Date | 06/13/2013
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Provider Practice Location Address
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Address Line | 3150 N TENAYA WAY STE 440
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City | LAS VEGAS
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State | NV
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Zip | 89128-0443
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Country | US
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Telephone | 702-360-9210
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Fax | 702-360-0008
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Provider Business Mailing Address
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Address Line | PO BOX 35192
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City | LAS VEGAS
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State | NV
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Zip | 89133-5192
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Country | US
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Telephone | 702-360-9210
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Fax | 702-360-0008
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. AVI A OSTROWSKY
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Credential | MD
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Telephone | 702-360-9210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 6480
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License Number State | NV
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