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General NPI Number Information
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NPI Number | 1588652994
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Entity Type | Individual
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Provider Name | THOMAS LEE OSTEEN MD
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Gender | Male
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 11/19/2009
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Provider Practice Location Address
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Address Line | 138A DUBLIN SQUARE RD
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City | ASHEBORO
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State | NC
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Zip | 27203-8627
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Country | US
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Telephone | 336-626-2688
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Fax | 336-626-4100
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Provider Business Mailing Address
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Address Line | PO BOX 5418
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City | ASHEBORO
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State | NC
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Zip | 27204-5418
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Country | US
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Telephone | 336-625-6072
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Fax | 336-625-1944
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 30946
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License Number State | NC
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