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General NPI Number Information
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NPI Number | 1063896546
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Entity Type | Organization
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Legal Business Name | ADAM J OLSCAMP MD PC
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Dates
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Enumeration Date | 07/15/2015
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Last Update Date | 08/30/2025
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Provider Practice Location Address
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Address Line | 1233 N NORTHWOOD CENTER CT STE 101
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City | COEUR D ALENE
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State | ID
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Zip | 83814-6190
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Country | US
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Telephone | 208-457-4211
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Fax | 208-773-1473
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Provider Business Mailing Address
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Address Line | 1233 N NORTHWOOD CENTER CT STE 101
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City | COEUR D ALENE
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State | ID
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Zip | 83814-6190
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Country | US
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Telephone | 208-457-4211
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Fax | 208-773-1473
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Authorized Official
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Title or Position | W2 MANAGING OWNER
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Name | DR. ADAM JAMES OLSCAMP
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Credential | MD
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Telephone | 208-457-4211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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