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General NPI Number Information
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NPI Number | 1225110547
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Entity Type | Individual
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Provider Name | CHAMION OLIVIER MD
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Gender | Female
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | 21 HOSPITAL DR STE 270
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City | PALM COAST
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State | FL
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Zip | 32164-2454
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Country | US
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Telephone | 386-344-1699
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Fax | 386-263-8880
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Provider Business Mailing Address
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Address Line | 21 HOSPITAL DR STE 270
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City | PALM COAST
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State | FL
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Zip | 32164-2454
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Country | US
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Telephone | 386-344-1699
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Fax | 386-263-8880
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 100766
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License Number State | FL
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