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General NPI Number Information
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NPI Number | 1134019268
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Entity Type | Organization
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Legal Business Name | ICON MEDICAL, PLLC
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 1251 RUDDER LN
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City | OSPREY
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State | FL
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Zip | 34229-9104
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Country | US
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Telephone | 941-999-0241
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Fax | 908-867-0506
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Provider Business Mailing Address
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Address Line | 1251 RUDDER LN
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City | OSPREY
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State | FL
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Zip | 34229-9104
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Country | US
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Telephone | 941-999-0241
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Fax | 908-867-0506
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | JOSEPHINE OLSEN
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Credential | DO
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Telephone | 941-999-0241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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