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General NPI Number Information
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NPI Number | 1366532723
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Entity Type | Individual
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Provider Name | ROBERT F OSTRUM M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 10/14/2010
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Provider Practice Location Address
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Address Line | 3 COOPER PLZ SUITE 408
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City | CAMDEN
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State | NJ
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Zip | 08103-1438
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Country | US
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Telephone | 856-968-7363
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Fax | 856-968-8288
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Provider Business Mailing Address
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Address Line | 3 COOPER PLZ SUITE 408
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City | CAMDEN
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State | NJ
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Zip | 08103-1438
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Country | US
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Telephone | 856-968-7363
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Fax | 856-968-8288
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MA07520600
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License Number State | NJ
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