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General NPI Number Information
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NPI Number | 1609392810
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Entity Type | Individual
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Provider Name | JAMIE LEE OLSEN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/18/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2517 HIGHWAY 180 E STE B
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City | MINERAL WELLS
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State | TX
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Zip | 76067
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Country | US
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Telephone | 940-328-7517
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Fax |
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Provider Business Mailing Address
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Address Line | 6191 FM 1189
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City | WEATHERFORD
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State | TX
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Zip | 76087-5525
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Country | US
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Telephone | 605-890-0528
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP135432
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 793561
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License Number State | TX
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