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General NPI Number Information
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NPI Number | 1376227181
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Entity Type | Individual
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Provider Name | OLIVIA METRIONE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 6274 GLENWOOD AVE STE 106
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City | RALEIGH
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State | NC
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Zip | 27612-2637
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Country | US
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Telephone | 919-887-8374
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Fax |
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Provider Business Mailing Address
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Address Line | 330 SUMMER RANCH DR
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City | FUQUAY VARINA
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State | NC
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Zip | 27526-3973
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Country | US
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Telephone | 973-349-6435
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5017755
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License Number State | NC
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