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General NPI Number Information
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NPI Number | 1710874375
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Entity Type | Individual
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Provider Name | IAN OSTLER
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Gender | Male
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 2000 W MARINE VIEW DR BUILDING 2010
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City | FPO
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State | AA
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Zip | 98207
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Country | US
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Telephone | 425-304-4060
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 W MARINE VIEW DR BUILDING 2010
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City | FPO
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State | AA
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Zip | 98207
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Country | US
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Telephone | 425-304-4060
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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 | WY
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 466T
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License Number State | WY
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