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General NPI Number Information
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NPI Number | 1639305469
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Entity Type | Individual
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Provider Name | CHRISTINE I OSTERHOUT M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/08/2009
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Last Update Date | 07/31/2013
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Provider Practice Location Address
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Address Line | 4250 AUBURN BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95841-4100
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Country | US
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Telephone | 530-220-2955
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Fax |
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Provider Business Mailing Address
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Address Line | 5098 FOOTHILLS BLVD STE # 3 - 375
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City | ROSEVILLE
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State | CA
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Zip | 95747-6526
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Country | US
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Telephone | 530-220-2955
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A114256
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License Number State | CA
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