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General NPI Number Information
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NPI Number | 1255369468
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Entity Type | Individual
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Provider Name | STEPHANIE J OLSCAMP CNM
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Gender | Female
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 05/09/2014
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Provider Practice Location Address
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Address Line | 980 W. IRONWOOD SUITE 101
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City | COEUR D'ALENE
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State | ID
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Zip | 83814
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Country | US
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Telephone | 208-765-1455
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Fax | 208-667-8655
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Provider Business Mailing Address
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Address Line | 980 W. IRONWOOD SUITE 101
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City | COEUR D'ALENE
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State | ID
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Zip | 83814
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Country | US
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Telephone | 208-765-1455
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Fax | 208-667-8655
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | N-27717
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | CNM50A
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | NP571A
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License Number State | ID
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