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General NPI Number Information
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NPI Number | 1609233774
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Entity Type | Individual
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Provider Name | YULIYA BORISOVNA OLIMPIADI M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/20/2016
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 11850 BLACKFOOT ST NW STE 300
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City | COON RAPIDS
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State | MN
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Zip | 55433-2772
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Country | US
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Telephone | 763-236-0818
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Fax | 763-236-0850
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Provider Business Mailing Address
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Address Line | 11850 BLACKFOOT ST NW STE 300
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City | COON RAPIDS
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State | MN
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Zip | 55433-2772
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Country | US
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Telephone | 323-236-0818
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Fax | 763-236-0850
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 74146
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 140213
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 89119
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License Number State | GA
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