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General NPI Number Information
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NPI Number | 1437817756
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Entity Type | Individual
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Provider Name | ADRIANA OLIVA ND
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Gender | Female
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Dates
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Enumeration Date | 12/03/2021
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 2501 CHATHAM RD STE 4174
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City | SPRINGFIELD
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State | IL
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Zip | 62704-4188
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Country | US
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Telephone | 954-825-8683
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Fax |
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Provider Business Mailing Address
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Address Line | 300 SE 2ND ST STE 600
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-1950
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Country | US
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Telephone | 954-825-8683
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 164.009670
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | ND10426
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License Number State | FL
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