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General NPI Number Information
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NPI Number | 1518827534
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Entity Type | Organization
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Legal Business Name | OLUCARE MED LLC
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 111 N 1ST AVE W
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City | FAITH
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State | SD
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Zip | 57626-6053
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Country | US
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Telephone | 708-730-4236
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Fax | 773-825-8397
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Provider Business Mailing Address
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Address Line | PO BOX 601
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City | FAITH
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State | SD
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Zip | 57626-0601
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Country | US
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Telephone | 708-730-4236
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Fax | 773-825-8397
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | DR. RACHEL O OLUGBENGA
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Credential | FNP-BC, DWP, DNP
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Telephone | 708-730-4236
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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 |
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License Number State |
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