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General NPI Number Information
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NPI Number | 1033402003
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Entity Type | Individual
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Provider Name | JASON P OLIVEIRA RD, LDN
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Gender | Male
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Dates
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Enumeration Date | 05/24/2011
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 67 DURHAM ST
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City | PROVIDENCE
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State | RI
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Zip | 02908-1522
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Country | US
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Telephone | 401-585-4560
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Fax | 845-840-1371
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Provider Business Mailing Address
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Address Line | 4255 COLLINGSWOOD BLVD
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-8819
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Country | US
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Telephone | 401-585-4560
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Fax | 845-840-1371
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LDN00553
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 2246
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | ND11059
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License Number State | FL
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