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General NPI Number Information
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NPI Number | 1538015581
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Entity Type | Individual
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Provider Name | DAVID OLSON CCC-SLP
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Gender | Male
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 224 N JUANITA AVE
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City | OXNARD
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State | CA
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Zip | 93030-3637
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Country | US
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Telephone | 805-385-1524
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Fax |
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Provider Business Mailing Address
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Address Line | 3880 STATE ST APT 1D
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City | SANTA BARBARA
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State | CA
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Zip | 93105-3196
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Country | US
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Telephone | 310-971-0507
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 29109
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License Number State | CA
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