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General NPI Number Information
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NPI Number | 1538798020
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Entity Type | Individual
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Provider Name | SCOTT MARTIN OSTRANDER ATC
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Gender | Male
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Dates
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Enumeration Date | 04/06/2020
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Last Update Date | 04/06/2020
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Provider Practice Location Address
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Address Line | 639 HOWARD RD
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City | WEST POINT
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State | NY
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Zip | 10996-1510
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Country | US
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Telephone | 845-420-4621
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Fax |
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Provider Business Mailing Address
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Address Line | 835 BLOOMING GROVE TPKE APT 137
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City | NEW WINDSOR
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State | NY
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Zip | 12553-8117
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Country | US
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Telephone | 631-278-2249
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 003037-1
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License Number State | NY
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