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General NPI Number Information
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NPI Number | 1033129002
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Entity Type | Individual
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Provider Name | AARON CARROLL OLSON DPM
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Gender | Male
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 08/18/2010
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Provider Practice Location Address
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Address Line | 525 N 9TH ST
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City | BISMARCK
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State | ND
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Zip | 58501-4510
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Country | US
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Telephone | 701-530-5870
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Fax | 701-530-5879
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Provider Business Mailing Address
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Address Line | 525 N 9TH ST
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City | BISMARCK
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State | ND
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Zip | 58501-4510
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Country | US
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Telephone | 701-530-5870
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Fax | 701-530-5879
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 7
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 150
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License Number State | SD
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