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General NPI Number Information
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NPI Number | 1497898654
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Entity Type | Organization
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Legal Business Name | OLSEN HEARING SERVICES INC.
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5267 PEARL RD
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City | PARMA
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State | OH
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Zip | 44129-1550
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Country | US
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Telephone | 216-485-5767
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Fax | 216-485-5768
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Provider Business Mailing Address
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Address Line | 5267 PEARL RD
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City | PARMA
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State | OH
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Zip | 44129-1550
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Country | US
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Telephone | 216-485-5767
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Fax | 216-485-5768
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | DR. RANDALL R. OLSEN
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Credential | AU.D
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Telephone | 216-485-5767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | A00215
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License Number State | OH
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