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General NPI Number Information
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NPI Number | 1871010066
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Entity Type | Individual
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Provider Name | ALICIA MAY OLSON APN
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Gender | Female
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Dates
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Enumeration Date | 08/28/2017
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 627 24 1/2 RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1277
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Country | US
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Telephone | 970-462-7126
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Fax | 970-433-7624
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Provider Business Mailing Address
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Address Line | 627 24 1/2 RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1277
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Country | US
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Telephone | 970-462-7126
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Fax | 970-433-7624
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN.0993434-NP
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License Number State | CO
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