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General NPI Number Information
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NPI Number | 1134345994
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Entity Type | Individual
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Provider Name | BRIAN JUDE OLIVIER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 3116 6TH ST SUITE 202
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City | METAIRIE
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State | LA
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Zip | 70002-1729
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Country | US
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Telephone | 504-218-7300
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Fax | 504-218-7302
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Provider Business Mailing Address
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Address Line | 3116 6TH ST SUITE 202
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City | METAIRIE
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State | LA
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Zip | 70002-1729
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Country | US
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Telephone | 504-218-7300
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Fax | 504-218-7302
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 5421
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License Number State | LA
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