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General NPI Number Information
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NPI Number | 1891975413
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Entity Type | Organization
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Legal Business Name | OLSON FACIAL PLASTIC SURGERY, P.C.
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Dates
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Enumeration Date | 11/12/2007
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 6340 N CAMPBELL AVE STE 256
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City | TUCSON
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State | AZ
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Zip | 85718-3186
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Country | US
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Telephone | 520-200-2218
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Fax | 520-200-2935
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Provider Business Mailing Address
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Address Line | PO BOX 64307
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City | TUCSON
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State | AZ
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Zip | 85728-4307
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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 | OFFICE MANAGER
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Name | MERCY OLSON
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Credential | RN
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Telephone | 520-200-2218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 23526
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License Number State | AZ
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