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General NPI Number Information
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NPI Number | 1396514931
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Entity Type | Organization
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Legal Business Name | ADAM J OLSCAMP MD PC
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Dates
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Enumeration Date | 12/22/2023
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Last Update Date | 11/03/2024
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Provider Practice Location Address
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Address Line | 8552 N GOVERNMENT WAY
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City | HAYDEN
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State | ID
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Zip | 83835-9280
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Country | US
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Telephone | 208-457-4211
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Fax | 208-773-1473
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Provider Business Mailing Address
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Address Line | 1233 N NORTHWOOD CENTER CT STE 101
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City | COEUR D ALENE
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State | ID
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Zip | 83814-6190
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Country | US
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Telephone | 208-457-4211
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Fax | 208-773-1473
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Authorized Official
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Title or Position | W2 MANAGING EMPLOYEE
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Name | DR. ADAM JAMES OLSCAMP
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Credential | MD
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Telephone | 208-457-4211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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