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General NPI Number Information
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NPI Number | 1124910369
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Entity Type | Individual
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Provider Name | KALEE OLMSTEAD RDH
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Gender | Female
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 304 W TOMICHI AVE STE 22
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City | GUNNISON
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State | CO
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Zip | 81230-2745
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Country | US
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Telephone | 970-901-5580
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Fax |
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Provider Business Mailing Address
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Address Line | 1105 VAN TUYL CIR
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City | GUNNISON
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State | CO
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Zip | 81230-2849
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Country | US
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Telephone | 970-209-8190
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH.000904824
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License Number State | CO
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