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General NPI Number Information
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NPI Number | 1427909555
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Entity Type | Individual
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Provider Name | TASHA OLSON
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Gender |
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Dates
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Enumeration Date | 02/05/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 203 VOYAGER DR
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City | ALEXANDRIA
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State | MN
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Zip | 56308-3093
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Country | US
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Telephone | 320-763-5559
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Fax |
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Provider Business Mailing Address
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Address Line | 5701 W MILL LAKE RD SW
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City | FARWELL
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State | MN
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Zip | 56327-8238
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4717
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License Number State | MN
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