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General NPI Number Information
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NPI Number | 1588231955
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Entity Type | Individual
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Provider Name | KATHRYN LYNDA OSETKOWSKI ANP
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Gender | Female
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Dates
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Enumeration Date | 06/05/2021
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Last Update Date | 06/05/2021
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Provider Practice Location Address
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Address Line | 3332 WALDEN AVE
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City | DEPEW
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State | NY
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Zip | 14043-2400
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Country | US
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Telephone | 716-668-7051
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Fax | 716-668-7069
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Provider Business Mailing Address
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Address Line | 2463 JAGOW RD
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City | NIAGARA FALLS
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State | NY
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Zip | 14304-2944
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Country | US
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Telephone | 716-525-5581
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F310201-01
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License Number State | NY
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