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General NPI Number Information
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NPI Number | 1750371050
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Entity Type | Individual
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Provider Name | DOROTHY A OSTERHAGE MD
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Gender | Female
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 09/20/2018
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Provider Practice Location Address
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Address Line | 1 MEDICAL VILLAGE DR
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City | EDGEWOOD
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State | KY
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Zip | 41017-3403
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Country | US
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Telephone | 859-301-2000
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Fax | 859-301-2073
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Provider Business Mailing Address
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Address Line | PO BOX 636324
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City | CINCINNATI
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State | OH
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Zip | 45263-6324
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Country | US
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Telephone | 859-301-2018
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Fax | 859-301-2073
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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 | 30665
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 01055834A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 35067013
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 35067013
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 30665
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License Number State | KY
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