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General NPI Number Information
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NPI Number | 1275925042
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Entity Type | Individual
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Provider Name | ELEIDA TUR OLIVA MD
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Gender | Female
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Dates
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Enumeration Date | 03/03/2015
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 3101 RICHMOND RD STE 190
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City | LEXINGTON
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State | KY
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Zip | 40509-1525
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Country | US
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Telephone | 859-309-7613
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Fax | 877-722-0592
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Provider Business Mailing Address
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Address Line | 6101 BLUE LAGOON DR STE 200
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City | MIAMI
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State | FL
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Zip | 33126-3168
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Country | US
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Telephone | 844-630-0700
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Fax | 877-374-1924
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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 | 53461
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License Number State | KY
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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 | MD36308
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License Number State | AL
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