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General NPI Number Information
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NPI Number | 1033490941
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Entity Type | Individual
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Provider Name | JEANNIE ARLENE OLIVO DDS
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Gender | Female
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Dates
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Enumeration Date | 09/06/2011
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 8961 OKEECHOBEE BLVD
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-1826
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Country | US
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Telephone | 561-486-8250
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Fax |
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Provider Business Mailing Address
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Address Line | 1644 THE 12TH FAIRWAY
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City | WELLINGTON
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State | FL
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Zip | 33414-5934
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Country | US
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Telephone | 718-812-1097
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 055805
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN27852
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License Number State | FL
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