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General NPI Number Information
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NPI Number | 1023225786
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Entity Type | Organization
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Legal Business Name | SCOTT E OLSSON, MD, PA
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 11/22/2011
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Provider Practice Location Address
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Address Line | 21216 NORTHWEST FWY SUITE 680
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City | CYPRESS
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State | TX
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Zip | 77429-4695
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Country | US
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Telephone | 713-467-5111
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Fax | 713-467-5198
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Provider Business Mailing Address
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Address Line | 21216 NORTHWEST FWY SUITE 680
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City | CYPRESS
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State | TX
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Zip | 77429-4695
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Country | US
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Telephone | 713-467-5111
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Fax | 713-467-5198
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Authorized Official
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Title or Position | OWNER
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Name | DR. SCOTT E OLSSON
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Credential | MD
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Telephone | 713-467-5111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | L8153
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License Number State | TX
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