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General NPI Number Information
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NPI Number | 1427623198
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Entity Type | Individual
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Provider Name | THEA OLSEN
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Gender | Female
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Dates
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Enumeration Date | 05/25/2021
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 2756 POST RD
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City | WARWICK
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State | RI
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Zip | 02886-3077
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Country | US
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Telephone | 401-691-6000
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Fax | 401-738-7718
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Provider Business Mailing Address
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Address Line | 4512 POST RD
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City | EAST GREENWICH
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State | RI
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Zip | 02818-4124
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Country | US
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Telephone |
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | RN60464946
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN54959
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License Number State | RI
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