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General NPI Number Information
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NPI Number | 1326078940
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Entity Type | Individual
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Provider Name | KATHRYN MARIE OLSON L.P.N.
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Gender | Female
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6375 W CHARLESTON BLVD A 100
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City | LAS VEGAS
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State | NV
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Zip | 89146-1139
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Country | US
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Telephone | 702-253-0818
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Fax |
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Provider Business Mailing Address
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Address Line | 803 WYOMING ST
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City | BOULDER CITY
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State | NV
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Zip | 89005-2707
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Country | US
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Telephone | 702-374-5396
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LPN11893
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License Number State | NV
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