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General NPI Number Information
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NPI Number | 1992018592
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Entity Type | Individual
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Provider Name | KAREN DENISE OLSON PTA
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Gender | Female
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Dates
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Enumeration Date | 07/23/2010
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Last Update Date | 07/23/2010
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Provider Practice Location Address
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Address Line | 1475 N GRANITE REEF RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85257-3919
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Country | US
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Telephone | 480-990-1904
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Fax |
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Provider Business Mailing Address
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Address Line | 3939 W WINDMILLS BLVD #1051
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City | CHANDLER
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State | AZ
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Zip | 85226-1354
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Country | US
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Telephone | 806-676-3369
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 8808APTA
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License Number State | AZ
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