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General NPI Number Information
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NPI Number | 1902786379
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Entity Type | Individual
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Provider Name | ERIC OLSON LCSW-C
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Gender | Male
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Dates
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Enumeration Date | 09/05/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 314 FRANKLIN AVE STE 304
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City | BERLIN
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State | MD
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Zip | 21811-1238
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Country | US
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Telephone | 410-973-2567
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Fax | 443-296-5023
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Provider Business Mailing Address
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Address Line | 12826 WHISPER TRACE DR
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City | OCEAN CITY
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State | MD
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Zip | 21842-9178
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Country | US
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Telephone | 410-973-2567
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Fax | 443-296-5023
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 30097
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License Number State | MD
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