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General NPI Number Information
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NPI Number | 1639823388
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Entity Type | Individual
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Provider Name | KARI OLSEN
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Gender | Female
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Dates
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Enumeration Date | 02/10/2022
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 4000 FABER PLACE DR STE 110
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City | NORTH CHARLESTON
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State | SC
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Zip | 29405-8585
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Country | US
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Telephone | 843-501-1099
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Fax |
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Provider Business Mailing Address
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Address Line | 2206 GREAT HALL CT
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City | CHARLESTON
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State | SC
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Zip | 29414-5608
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Country | US
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Telephone | 843-609-8123
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 9538
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License Number State | SC
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