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General NPI Number Information
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NPI Number | 1639054273
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Entity Type | Individual
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Provider Name | AURORA RAE OSTERGAR
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Gender | Female
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 10 SANDY SPRINGS ROAD
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City | ZUNI
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State | NM
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Zip | 87327
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Country | US
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Telephone | 505-782-5511
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 615
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City | ZUNI
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State | NM
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Zip | 87327-0615
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Country | US
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Telephone | 435-764-4713
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 434854
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License Number State | NM
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