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General NPI Number Information
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NPI Number | 1275254815
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Entity Type | Individual
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Provider Name | CAITLYN M OLSON OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 37650 PROFESSIONAL CENTER DR
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City | LIVONIA
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State | MI
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Zip | 48154-1197
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Country | US
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Telephone | 734-943-4848
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Fax |
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Provider Business Mailing Address
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Address Line | 1120 GARDEN RD
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City | MILFORD
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State | MI
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Zip | 48381-2520
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Country | US
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Telephone | 734-358-3243
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5201013088
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License Number State | MI
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