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General NPI Number Information
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NPI Number | 1205256328
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Entity Type | Individual
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Provider Name | OLEVIA METRY M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/17/2014
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 19027 WINGSHOOTER WAY
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City | LUTZ
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State | FL
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Zip | 33558-4875
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Country | US
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Telephone | 813-660-7900
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Fax | 813-821-9821
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Provider Business Mailing Address
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Address Line | PO BOX 1289
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City | TAMPA
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State | FL
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Zip | 33601-1289
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Country | US
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Telephone | 813-277-8852
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA10418900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101263677
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME129549
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License Number State | FL
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