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General NPI Number Information
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NPI Number | 1275351843
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Entity Type | Individual
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Provider Name | EFRAIN OLIVERAS APN
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Gender | Male
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 350 ENGLE ST 5 MAIN
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-1898
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Country | US
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Telephone | 201-894-3636
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Fax |
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Provider Business Mailing Address
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Address Line | 206A WALNUT ST
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City | NORTHVALE
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State | NJ
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Zip | 07647-2009
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Country | US
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Telephone | 917-647-1469
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 26NJ15134000
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License Number State | NJ
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