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General NPI Number Information
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NPI Number | 1134803208
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER OLSEN, DDS LLC
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Dates
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Enumeration Date | 06/09/2023
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Last Update Date | 06/09/2023
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Provider Practice Location Address
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Address Line | 203 S SANTA CLAUS LN
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City | NORTH POLE
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State | AK
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Zip | 99705-7711
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Country | US
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Telephone | 907-488-1515
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Fax | 907-488-1516
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Provider Business Mailing Address
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Address Line | 203 S SANTA CLAUS LN
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City | NORTH POLE
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State | AK
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Zip | 99705-7711
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Country | US
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Telephone | 907-488-1515
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Fax | 907-488-1516
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER OLSEN
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Credential | DDS
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Telephone | 907-488-1515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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