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General NPI Number Information
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NPI Number | 1184884983
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Entity Type | Individual
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Provider Name | CLAUDIA ELIZABETH OLSEN D.M.D., M.P.H
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Gender | Female
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Dates
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Enumeration Date | 06/15/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3116 W US 22 AND 3 STE 1
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City | MAINEVILLE
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State | OH
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Zip | 45039-8103
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Country | US
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Telephone | 513-334-4060
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Fax |
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Provider Business Mailing Address
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Address Line | 3116 W US 22 AND 3 STE 1
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City | MAINEVILLE
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State | OH
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Zip | 45039-8103
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Country | US
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Telephone | 435-229-0635
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 30.023214
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 30-023214
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License Number State | OH
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