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General NPI Number Information
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NPI Number | 1285445502
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Entity Type | Individual
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Provider Name | KATHERINE ANNE OLSEN PHARMD, BCPS
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Gender | Female
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 135 RUTLEDGE AVE RM 106
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City | CHARLESTON
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State | SC
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Zip | 29425-8903
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Country | US
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Telephone | 843-876-0199
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Fax |
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Provider Business Mailing Address
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Address Line | 3433 ALMOND GROVE DR
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City | FLORENCE
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State | SC
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Zip | 29501-8197
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Country | US
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Telephone |
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 42759
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License Number State | SC
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