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General NPI Number Information
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NPI Number | 1780328575
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Entity Type | Individual
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Provider Name | COURTNEY N OSTENDORF FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/26/2022
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 2525 GLENN HENDREN DR
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City | LIBERTY
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State | MO
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Zip | 64068-9625
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Country | US
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Telephone | 816-792-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 22395 CLARK DR
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City | MEADVILLE
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State | MO
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Zip | 64659-8229
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Country | US
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Telephone | 660-247-5206
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 2012002944
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2022018935
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License Number State | MO
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