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General NPI Number Information
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NPI Number | 1518649391
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Entity Type | Individual
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Provider Name | JOANNA OSTERMAN
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Gender | Female
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Dates
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Enumeration Date | 08/02/2023
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 813 E 4TH ST
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City | MOUNT VERNON
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State | IN
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Zip | 47620-2012
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Country | US
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Telephone | 812-450-1325
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Fax | 812-838-9214
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Provider Business Mailing Address
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Address Line | PO BOX 631767
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City | CINCINNATI
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State | OH
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Zip | 45263-1767
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Country | US
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Telephone | 812-450-6929
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71014166A
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License Number State | IN
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