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General NPI Number Information
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NPI Number | 1386337855
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Entity Type | Individual
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Provider Name | MEGAN JO OLSON LMSW
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Gender | Female
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Dates
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Enumeration Date | 05/31/2023
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 1224 1ST ST S STE 302
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City | NAMPA
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State | ID
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Zip | 83651-3963
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Country | US
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Telephone | 208-502-0183
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Fax | 208-932-9693
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Provider Business Mailing Address
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Address Line | 3659 S CREEKWOOD WAY
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City | BOISE
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State | ID
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Zip | 83709-6072
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Country | US
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Telephone | 208-484-1183
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 43635
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License Number State | ID
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