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General NPI Number Information
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NPI Number | 1255452850
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Entity Type | Individual
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Provider Name | RIKARD L. OLSON O.D.
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Gender | Male
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 6400 W 92ND AVE
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City | WESTMINSTER
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State | CO
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Zip | 80031-2952
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Country | US
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Telephone | 303-657-0785
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Fax |
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Provider Business Mailing Address
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Address Line | 10808 ALCOTT CIR
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City | WESTMINSTER
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State | CO
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Zip | 80234-3151
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Country | US
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Telephone | 303-465-5599
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Fax | 303-657-4939
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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 | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 1952
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1952
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License Number State | CO
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