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General NPI Number Information
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NPI Number | 1194909424
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Entity Type | Organization
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Legal Business Name | BYRON & DAUGHTERS DBA, CRAIG B OLSON, MD
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Dates
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Enumeration Date | 12/21/2007
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Last Update Date | 12/21/2007
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Provider Practice Location Address
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Address Line | 620 N WILLOW ST
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City | HARRISON
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State | AR
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Zip | 72601-2994
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Country | US
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Telephone | 870-365-2244
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Fax | 870-365-2438
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Provider Business Mailing Address
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Address Line | PO BOX 1893
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City | MOUNTAIN HOME
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State | AR
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Zip | 72654-1893
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Country | US
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Telephone | 870-424-7070
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Fax | 870-424-6616
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CRAIG B OLSON
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Credential | MD
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Telephone | 870-365-2244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | E3017
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License Number State | AR
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