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General NPI Number Information
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NPI Number | 1679543466
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Entity Type | Individual
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Provider Name | SCOTT A OLSON DDS
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Gender | Male
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 03/23/2011
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Provider Practice Location Address
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Address Line | 18520 ST HWY 305 NE
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City | POULSBO
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State | WA
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Zip | 98370-7453
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Country | US
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Telephone | 360-621-9858
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Fax |
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Provider Business Mailing Address
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Address Line | 18520 ST HWY 305 NE
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City | POULSBO
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State | WA
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Zip | 98370-7453
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Country | US
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Telephone | 360-621-9858
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | WA 00010620
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License Number State | WA
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