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General NPI Number Information
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NPI Number | 1699657007
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Entity Type | Individual
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Provider Name | ALEXANDRA OLSON
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Gender |
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 7689 SAGAMORE HILLS BLVD
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City | NORTHFIELD
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State | OH
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Zip | 44067-2960
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Country | US
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Telephone | 330-405-8776
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Fax |
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Provider Business Mailing Address
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Address Line | 2576 FENWICK RD
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City | UNIVERSITY HEIGHTS
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State | OH
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Zip | 44118-4427
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Country | US
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Telephone |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | COND.20253088-SP
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License Number State | OH
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