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General NPI Number Information
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NPI Number | 1245669811
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Entity Type | Organization
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Legal Business Name | OLGA SWANSON MD PA
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Dates
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Enumeration Date | 11/05/2013
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Last Update Date | 06/22/2022
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Provider Practice Location Address
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Address Line | 427 W 20TH ST STE 706
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City | HOUSTON
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State | TX
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Zip | 77008-2433
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Country | US
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Telephone | 713-485-4302
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Fax | 713-391-8415
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Provider Business Mailing Address
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Address Line | 4504 PARK CT
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City | BELLAIRE
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State | TX
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Zip | 77401-3714
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Country | US
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Telephone | 248-231-6515
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. OLGA FLOMIN SWANSON
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Credential | MD
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Telephone | 248-231-6515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | N7497
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License Number State | TX
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