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General NPI Number Information
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NPI Number | 1013470368
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Entity Type | Individual
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Provider Name | RANDALL ZACHARY OLMSTED MD
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Gender | Male
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Dates
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Enumeration Date | 04/12/2019
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 509 BILTMORE AVE
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City | ASHEVILLE
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State | NC
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Zip | 28801-4601
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Country | US
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Telephone | 828-778-9178
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 654481
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City | DALLAS
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State | TX
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Zip | 75265-4481
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Country | US
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Telephone | 866-860-8755
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Fax | 302-467-1822
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2022-02980
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License Number State | NC
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