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General NPI Number Information
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NPI Number | 1780681973
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Entity Type | Individual
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Provider Name | MARGARET COZZI OLSON DPM
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Gender | Female
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 01/14/2014
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Provider Practice Location Address
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Address Line | 727 BONNIE BRAE PL
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City | RIVER FOREST
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State | IL
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Zip | 60305-1930
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Country | US
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Telephone | 708-217-4778
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Fax |
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Provider Business Mailing Address
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Address Line | 727 BONNIE BRAE PL
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City | RIVER FOREST
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State | IL
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Zip | 60305-1930
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Country | US
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Telephone | 708-217-4778
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 016003260
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License Number State | IL
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