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General NPI Number Information
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NPI Number | 1063443679
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Entity Type | Individual
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Provider Name | KATE-LYNN M OLSON-GEIER P.A.
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Gender | Female
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 04/04/2017
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Provider Practice Location Address
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Address Line | 150 W HIGH ST
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City | MORRIS
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State | IL
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Zip | 60450-1463
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Country | US
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Telephone | 815-942-2932
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Fax |
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Provider Business Mailing Address
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Address Line | 285 S KINSMAN RD SLOT 303125
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City | SENECA
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State | IL
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Zip | 61360-9317
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Country | US
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Telephone | 815-955-4174
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 085001901
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License Number State | IL
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