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General NPI Number Information
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NPI Number | 1487009379
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Entity Type | Individual
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Provider Name | JAMES MARSHALL OELSEN MD
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Gender | Male
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Dates
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Enumeration Date | 04/27/2016
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 1085 NE GATEWAY CT NE
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City | CONCORD
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State | NC
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Zip | 28025-2406
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Country | US
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Telephone | 704-707-2200
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Fax | 704-707-2203
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Provider Business Mailing Address
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Address Line | 1518 E 3RD ST STE 250
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City | CHARLOTTE
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State | NC
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Zip | 28204-3192
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Country | US
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Telephone | 704-248-3400
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Fax | 704-337-8387
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 304712
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 304712
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License Number State | NC
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