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General NPI Number Information
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NPI Number | 1093276669
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Entity Type | Individual
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Provider Name | ERIC MATTHEW OLSON MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2019
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 23 SUNNYBROOK RD STE 220
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City | RALEIGH
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State | NC
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Zip | 27610-1855
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Country | US
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Telephone | 287-391-9350
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Fax | 919-235-1388
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Provider Business Mailing Address
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Address Line | 6729 VAN HAVEN DR
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City | RALEIGH
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State | NC
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Zip | 27615-6531
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Country | US
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Telephone | 405-250-9091
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 2025-00143
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License Number State | NC
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