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General NPI Number Information
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NPI Number | 1457678336
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Entity Type | Individual
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Provider Name | HEIDI MARIE OSTLER MD
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Gender | Female
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Dates
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Enumeration Date | 04/30/2010
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Last Update Date | 03/02/2020
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Provider Practice Location Address
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Address Line | 3420 FM 967 STE B100
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City | BUDA
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State | TX
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Zip | 78610-3113
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Country | US
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Telephone | 512-295-1608
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Fax | 512-406-7325
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Provider Business Mailing Address
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Address Line | 6210 E US HWY 290 SUITE 420-CREDENTIALING
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City | AUSTIN
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State | TX
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Zip | 78723-1098
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Country | US
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Telephone | 512-338-3826
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Fax | 512-406-6216
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R0966
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License Number State | TX
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