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NPI 1659333169

NPI 1659333169 : APRIL M OLSON PA-C : EDINA, MN

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General NPI Number Information
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    NPI Number           |    1659333169
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    Entity Type          |    Individual 
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    Provider Name        |    APRIL M OLSON PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/03/2006
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    Last Update Date     |    03/06/2008
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Provider Practice Location Address
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    Address Line         |    8100 W 78TH ST SUITE 225
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    City                 |    EDINA
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    State                |    MN
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    Zip                  |    55439-2516
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    Country              |    US
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    Telephone            |    952-946-9777
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    Fax                  |    952-946-9888
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Provider Business Mailing Address
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    Address Line         |    7064 SPRINGHILL CIR 
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    City                 |    EDEN PRAIRIE
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    State                |    MN
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    Zip                  |    55346-2615
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    Country              |    US
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    Telephone            |    952-946-9777
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    Fax                  |    952-946-9888
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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        |    363AS0400X
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    Taxonomy Name        |    Surgical Physician Assistant
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    License Number       |    9892
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    License Number State |    MN
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