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General NPI Number Information
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NPI Number | 1699499582
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Entity Type | Individual
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Provider Name | ANN OTTESEN NP
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Gender | Female
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Dates
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Enumeration Date | 10/03/2022
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 527 NE BELLEVUE DR STE 200
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City | BEND
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State | OR
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Zip | 97701-8744
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Country | US
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Telephone | 541-640-7243
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Fax | 541-645-7243
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Provider Business Mailing Address
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Address Line | 2660 NE HIGHWAY 20 SUITE 610 #524
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City | BEND
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State | OR
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Zip | 97701-4858
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Country | US
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Telephone | 541-762-2727
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Fax | 541-645-7243
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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 | 2022124070NP-PP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 2022124070NP-PP
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 2022124070NP-PP
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 202212407NP-PP
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License Number State | OR
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