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General NPI Number Information
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NPI Number | 1578856167
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Entity Type | Individual
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Provider Name | LISA OLSON A.S.W.
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Gender | Female
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Dates
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Enumeration Date | 05/16/2011
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Last Update Date | 03/15/2013
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Provider Practice Location Address
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Address Line | 984 LUPIN DR STE 8
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City | SALINAS
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State | CA
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Zip | 93906-3956
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Country | US
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Telephone | 831-585-1895
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Fax | 831-676-3325
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Provider Business Mailing Address
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Address Line | 984 LUPIN DR STE 8
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City | SALINAS
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State | CA
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Zip | 93906-3956
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Country | US
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Telephone | 831-585-1895
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Fax | 831-676-3325
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LSW-28242
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | ASW-35382
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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