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General NPI Number Information
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NPI Number | 1598954224
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Entity Type | Individual
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Provider Name | FELLIPE M. OLIVEIRA M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/18/2007
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Last Update Date | 02/02/2017
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Provider Practice Location Address
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Address Line | 6711 38TH AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33710-1536
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Country | US
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Telephone | 727-344-3200
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Fax | 727-347-6871
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Provider Business Mailing Address
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Address Line | PO BOX 12868
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City | ST PETERSBURG
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State | FL
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Zip | 33733-2868
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Country | US
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Telephone | 727-532-0002
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Fax | 727-266-4943
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | ME98451
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME98451
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | ME98451
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License Number State | FL
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