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General NPI Number Information
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NPI Number | 1548649445
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Entity Type | Individual
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Provider Name | JULIANA XAVIER OLIVEIRA D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/26/2015
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Last Update Date | 10/05/2024
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Provider Practice Location Address
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Address Line | 2001 N HORSESHOE TRL
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City | SILT
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State | CO
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Zip | 81652-9832
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Country | US
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Telephone | 970-876-5700
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Fax | 970-876-0482
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Provider Business Mailing Address
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Address Line | 800 BRADBURY DR SE STE 116
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-4310
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Country | US
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Telephone | 505-272-1476
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Fax | 970-876-0482
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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 | A-2408-20
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DR.0070985
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License Number State | CO
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