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General NPI Number Information
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NPI Number | 1346474111
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Entity Type | Individual
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Provider Name | SHAWN MICHAEL OLSON MD, MPH
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Gender | Male
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Dates
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Enumeration Date | 05/08/2009
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Last Update Date | 08/13/2021
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Provider Practice Location Address
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Address Line | 3601 MINNESOTA DR SUITE 600
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City | EDINA
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State | MN
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Zip | 55435-5281
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Country | US
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Telephone | 952-851-8200
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Fax | 952-851-8219
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Provider Business Mailing Address
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Address Line | 3601 MINNESOTA DR SUITE 600
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City | EDINA
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State | MN
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Zip | 55435-5281
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Country | US
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Telephone | 952-851-8200
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Fax | 952-851-8219
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 56398
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 56398
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License Number State | MN
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