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General NPI Number Information
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NPI Number | 1669891289
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Entity Type | Organization
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Legal Business Name | OLSEN & OLSEN, I, PA
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 04/10/2014
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Provider Practice Location Address
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Address Line | 1524 NC HIGHWAY 87 SOUTH
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City | CAMERON
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State | NC
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Zip | 28326
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Country | US
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Telephone | 910-246-3232
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Fax |
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Provider Business Mailing Address
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Address Line | 10564 S US HIGHWAY 15 501 SUITE D
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-5167
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Country | US
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Telephone | 910-246-3232
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Fax |
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Authorized Official
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Title or Position | CO-MANAGER
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Name | DR. JASON A OLSEN
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Credential | DDS
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Telephone | 910-246-3232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 8177
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License Number State | NC
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