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General NPI Number Information
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NPI Number | 1528154382
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Entity Type | Organization
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Legal Business Name | OLSON SPEECH AND LANGUAGE P.C.
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 10/20/2009
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Provider Practice Location Address
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Address Line | 1919 OAKWELL FARMS PKWY STE 110
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City | SAN ANTONIO
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State | TX
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Zip | 78218-1726
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Country | US
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Telephone | 210-857-7757
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Fax | 210-821-3727
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Provider Business Mailing Address
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Address Line | 1919 OAKWELL FARMS PKWY STE 110
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City | SAN ANTONIO
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State | TX
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Zip | 78218-1726
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Country | US
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Telephone | 210-857-7757
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Fax | 210-821-3727
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Authorized Official
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Title or Position | OWNER
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Name | KATHERINE G OLSON
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Credential | M.S., CCC-SLP
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Telephone | 210-857-7757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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