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General NPI Number Information
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NPI Number | 1083667653
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Entity Type | Organization
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Legal Business Name | OLIVER FAMILY HEALTHCARE PC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 06/22/2020
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Provider Practice Location Address
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Address Line | 5645 LAFAYETTE RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46254-1011
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Country | US
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Telephone | 317-387-3050
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Fax | 317-295-7044
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Provider Business Mailing Address
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Address Line | 5645 LAFAYETTE RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46254-1011
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Country | US
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Telephone | 317-387-3050
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Fax | 317-295-7044
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. JOSEPH CHRISTOPHER BRINKLEY
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Credential | NP
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Telephone | 317-387-3050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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