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General NPI Number Information
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NPI Number | 1346412608
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Entity Type | Organization
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Legal Business Name | AXEL K OLSON MD PC
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 3686 GRANDVIEW PKWY STE 750
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City | BIRMINGHAM
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State | AL
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Zip | 35243-3409
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Country | US
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Telephone | 205-536-7600
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Fax | 205-203-4491
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Provider Business Mailing Address
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Address Line | 3686 GRANDVIEW PKWY STE 750
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City | BIRMINGHAM
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State | AL
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Zip | 35243-3409
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Country | US
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Telephone | 205-536-7600
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Fax | 205-203-4491
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. AXEL KENNETH OLSON
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Credential | AXEL K. OLSON, M. D.
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Telephone | 205-536-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 13077
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License Number State | AL
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