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General NPI Number Information
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NPI Number | 1457279887
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Entity Type | Individual
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Provider Name | JOE OLSON DC
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Gender | Male
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 525 MAIN ST STE 120
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City | DELAFIELD
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State | WI
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Zip | 53018-1447
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Country | US
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Telephone | 262-337-9645
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Fax |
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Provider Business Mailing Address
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Address Line | 76500 WEST RD
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City | BUTTERNUT
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State | WI
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Zip | 54514-9150
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Country | US
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Telephone | 715-560-3170
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 6418-12
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License Number State | WI
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