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General NPI Number Information
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NPI Number | 1497057012
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Entity Type | Organization
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Legal Business Name | DR. JULIO OLIVIERI & ASSOCIATES
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Dates
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Enumeration Date | 12/02/2010
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Last Update Date | 12/09/2010
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Provider Practice Location Address
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Address Line | 874 ED HALL DR STE 102-103
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City | KAUFMAN
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State | TX
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Zip | 75142-1861
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Country | US
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Telephone | 972-932-4345
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Fax | 972-932-8736
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Provider Business Mailing Address
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Address Line | 874 ED HALL DR STE 102-103
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City | KAUFMAN
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State | TX
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Zip | 75142-1861
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Country | US
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Telephone | 972-932-4345
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Fax | 972-932-8736
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ORLANDO RUBANG DIZON
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Credential |
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Telephone | 972-932-4345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | K2549
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License Number State | TX
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