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General NPI Number Information
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NPI Number | 1548816937
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Entity Type | Individual
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Provider Name | JENNIFER OSTER DO, MPH
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Gender | Female
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Dates
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Enumeration Date | 08/13/2019
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 12300 WILSHIRE BLVD STE 220
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City | LOS ANGELES
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State | CA
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Zip | 90025-1057
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Country | US
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Telephone | 310-576-2505
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Fax |
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Provider Business Mailing Address
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Address Line | 12300 WILSHIRE BLVD STE 220
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City | LOS ANGELES
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State | CA
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Zip | 90025-1057
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Country | US
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Telephone | 310-576-2505
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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 | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | 19849
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 19849
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License Number State | CA
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