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General NPI Number Information
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NPI Number | 1881782464
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Entity Type | Individual
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Provider Name | STEPHEN WAYNE OLSON MD
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Gender | Male
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 8901 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20889-0001
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Country | US
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Telephone | 301-295-4331
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Fax |
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Provider Business Mailing Address
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Address Line | 7010 TILDEN LN
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City | ROCKVILLE
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State | MD
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Zip | 20852-4549
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Country | US
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Telephone | 301-770-8725
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | D0092856
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License Number State | MD
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