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General NPI Number Information
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NPI Number | 1639265036
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Entity Type | Individual
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Provider Name | JAMES DOUGLAS OLIVER III M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 01/26/2013
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Provider Practice Location Address
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Address Line | 8901 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20889-5600
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Country | US
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Telephone | 301-295-4331
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Fax | 301-295-6081
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Provider Business Mailing Address
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Address Line | 8901 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20889-5600
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Country | US
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Telephone | 301-295-4331
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Fax | 301-295-6081
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MD21675
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License Number State | DC
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