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General NPI Number Information
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NPI Number | 1932868320
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Entity Type | Organization
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Legal Business Name | SIGNEY OLSON HEALTH, LLC
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Dates
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Enumeration Date | 12/13/2021
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 113 ORONOCO ST
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City | ALEXANDRIA
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State | VA
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Zip | 22314-2015
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Country | US
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Telephone | 571-318-9299
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Fax |
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Provider Business Mailing Address
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Address Line | 113 ORONOCO ST
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City | ALEXANDRIA
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State | VA
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Zip | 22314-2015
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Country | US
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Telephone | 571-318-9299
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Fax |
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Authorized Official
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Title or Position | OWNER, NURSE PRACTITIONER
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Name | SIGNEY OLSON
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Credential | NP, CNM
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Telephone | 571-318-9299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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