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General NPI Number Information
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NPI Number | 1568681971
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Entity Type | Individual
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Provider Name | LYNN MARIE OLSON MSN, CNM, WHNP
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Gender | Female
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3901 LAS POSAS RD STE 207
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City | CAMARILLO
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State | CA
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Zip | 93010-1506
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Country | US
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Telephone | 805-987-6807
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Fax | 805-987-9197
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Provider Business Mailing Address
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Address Line | 5616 LAKE LINDERO DR
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City | AGOURA HILLS
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State | CA
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Zip | 91301-1907
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Country | US
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Telephone | 818-597-9142
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Fax | 805-987-9197
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | NMW1759
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License Number State | CA
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