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General NPI Number Information
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NPI Number | 1063601441
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Entity Type | Organization
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Legal Business Name | DAVID G OLIVER MD PC
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 10/25/2007
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Provider Practice Location Address
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Address Line | 503 CYNWOOD DR
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City | EASTON
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State | MD
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Zip | 21601-3869
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Country | US
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Telephone | 410-822-0110
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Fax |
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Provider Business Mailing Address
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Address Line | 503 CYNWOOD DR
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City | EASTON
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State | MD
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Zip | 21601-3869
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Country | US
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Telephone | 410-822-0110
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. LORRIE W FOXWE
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Credential |
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Telephone | 410-822-0110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | H0060785
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License Number State | MD
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