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General NPI Number Information
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NPI Number | 1437044583
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Entity Type | Organization
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Legal Business Name | OLIVIA S JUAREZ FNP-C PRIMARY CARE CLINIC LLC
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 7812 GATEWAY BLVD E STE 200
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City | EL PASO
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State | TX
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Zip | 79915-1836
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Country | US
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Telephone | 915-219-4246
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Fax |
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Provider Business Mailing Address
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Address Line | 7812 GATEWAY BLVD E STE 200
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City | EL PASO
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State | TX
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Zip | 79915-1836
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Country | US
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Telephone | 915-219-4246
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Fax |
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Authorized Official
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Title or Position | FNP/OWNER
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Name | MRS. OLIVIA JUAREZ
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Credential | FNP
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Telephone | 915-256-1131
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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 |
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License Number State |
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