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NPI 1487048914

NPI 1487048914 : AUDREY BILLEAUD OLIVIER MD : ERIE, CO

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General NPI Number Information
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    NPI Number           |    1487048914
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    Entity Type          |    Individual 
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    Provider Name        |    AUDREY BILLEAUD OLIVIER MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/23/2015
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    Last Update Date     |    05/15/2025
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Provider Practice Location Address
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    Address Line         |    101 ERIE PKWY STE 201C 
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    City                 |    ERIE
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    State                |    CO
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    Zip                  |    80516-4072
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    Country              |    US
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    Telephone            |    303-415-5816
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    Fax                  |    303-293-0625
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Provider Business Mailing Address
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    Address Line         |    PO BOX 9049 
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    City                 |    BOULDER
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    State                |    CO
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    Zip                  |    80301-9049
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    Country              |    US
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    Telephone            |    33-415-4101
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    Fax                  |    303-741-5247
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    61194
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    License Number State |    SC
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    DR.0067327
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    License Number State |    CO
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