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General NPI Number Information
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NPI Number | 1871879551
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Entity Type | Organization
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Legal Business Name | OLS ENTERPRIZE INC
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Dates
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Enumeration Date | 10/26/2011
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Last Update Date | 10/26/2011
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Provider Practice Location Address
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Address Line | 224 NAZARETH PIKE
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City | BETHLEHEM
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State | PA
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Zip | 18020-9080
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Country | US
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Telephone | 610-759-7333
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Fax |
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Provider Business Mailing Address
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Address Line | 224 NAZARETH PIKE BETHLEHEM
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City | BETHLEHEM
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State | PA
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Zip | 18020-9080
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Country | US
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Telephone | 610-759-7333
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LONNY ROBERT BOLINE
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Credential |
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Telephone | 610-759-7333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 11203601
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License Number State | PA
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