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General NPI Number Information
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NPI Number | 1407428857
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Entity Type | Individual
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Provider Name | NICOLE KARINA OLIVEIRA FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/14/2021
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 63 EASTON ST
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City | LAWRENCE
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State | MA
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Zip | 01843-2513
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Country | US
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Telephone | 978-609-4911
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Fax |
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Provider Business Mailing Address
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Address Line | 63 EASTON ST
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City | LAWRENCE
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State | MA
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Zip | 01843-2513
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Country | US
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Telephone | 978-804-0119
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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 | RN2352971
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2352971
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License Number State | MA
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