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General NPI Number Information
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NPI Number | 1518459221
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Entity Type | Individual
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Provider Name | OLGA TARLTON NP
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Gender | Female
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Dates
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Enumeration Date | 05/30/2018
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Last Update Date | 04/19/2019
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Provider Practice Location Address
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Address Line | 555 LEFFERTS AVE
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City | BROOKLYN
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State | NY
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Zip | 11225
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Country | US
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Telephone | 212-803-3339
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Fax | 646-768-8600
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Provider Business Mailing Address
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Address Line | 555 LEFFERTS AVE
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City | BROOKLYN
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State | NY
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Zip | 11225-4543
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Country | US
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Telephone | 212-803-3339
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Fax | 646-768-8600
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.1653083
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 668773
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APN.0993886-NP
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 308598
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License Number State | NY
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