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General NPI Number Information
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NPI Number | 1457363889
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Entity Type | Individual
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Provider Name | JERRY PATRICK OLIARO DO
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Gender | Male
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 101 ROCK CANYON CT
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City | FOLSOM
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State | CA
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Zip | 95630-1834
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Country | US
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Telephone | 916-802-9050
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Fax | 916-987-8708
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Provider Business Mailing Address
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Address Line | 3000 LAWRENCE ST # 101
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City | DENVER
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State | CO
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Zip | 80205-3422
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Country | US
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Telephone | 720-616-9218
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Fax | 916-987-8708
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 20A6041
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License Number State | CA
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