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General NPI Number Information
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NPI Number | 1174607667
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Entity Type | Individual
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Provider Name | ROBERT A OLSON CRNA, M.S
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Gender | Male
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 02/23/2009
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Provider Practice Location Address
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Address Line | 450 N ROXBURY DR SUITE 600
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4232
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Country | US
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Telephone | 310-651-2280
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Fax | 310-651-2260
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Provider Business Mailing Address
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Address Line | 7254 HOLLYWOOD BLVD APT 4
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City | LOS ANGELES
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State | CA
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Zip | 90046-3117
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Country | US
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Telephone | 323-876-7934
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Fax | 323-876-7934
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 3404
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 200960007CRNA
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License Number State | OR
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