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General NPI Number Information
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NPI Number | 1477164051
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Entity Type | Individual
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Provider Name | BENILDA OLIQUINO RN, BSN, CCRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/16/2020
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 3121 FRUITVALE AVE
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City | OAKLAND
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State | CA
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Zip | 94602-2112
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Country | US
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Telephone | 510-929-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 6600 LONE TREE WAY
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City | BRENTWOOD
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State | CA
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Zip | 94513-5256
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Country | US
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Telephone | 925-276-9908
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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 | 95015197
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License Number State | CA
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