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General NPI Number Information
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NPI Number | 1144493248
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Entity Type | Organization
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Legal Business Name | NEAL H. OLSHAN, PHD, PLLC
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Dates
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Enumeration Date | 04/09/2008
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Last Update Date | 10/13/2015
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Provider Practice Location Address
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Address Line | 4720 E CHOLLA ST
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City | PHOENIX
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State | AZ
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Zip | 85028-2304
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Country | US
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Telephone | 602-705-1144
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Fax | 480-553-8678
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Provider Business Mailing Address
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Address Line | 4720 E CHOLLA ST
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City | PHOENIX
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State | AZ
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Zip | 85028-2304
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Country | US
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Telephone | 602-705-1144
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Fax | 480-553-8678
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. NEAL HUGH OLSHAN
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Credential | PHD
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Telephone | 448-556-9903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 429
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License Number State | AZ
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