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General NPI Number Information
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NPI Number | 1538053319
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Entity Type | Individual
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Provider Name | ASHLEE KATHLEEN OLSON DDS
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Gender | Female
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 105 N KEENE ST STE 100
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City | COLUMBIA
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State | MO
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Zip | 65201-8131
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Country | US
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Telephone | 573-817-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 501 SE MAIN ST APT 729
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City | MINNEAPOLIS
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State | MN
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Zip | 55414-2983
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Country | US
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Telephone | 507-316-1266
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2025018009
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License Number State | MO
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