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General NPI Number Information
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NPI Number | 1417839796
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Entity Type | Individual
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Provider Name | ANN LOUISE OLDENBURG DPT
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Gender | Female
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 500 PROSPECT AVE
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City | OXFORD
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State | NC
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Zip | 27565-2543
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Country | US
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Telephone | 919-693-1531
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Fax |
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Provider Business Mailing Address
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Address Line | 14427 HAMLETVILLE ST
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City | RALEIGH
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State | NC
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Zip | 27614-6621
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Country | US
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Telephone | 618-980-2158
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P16788
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License Number State | NC
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