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General NPI Number Information
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NPI Number | 1649370040
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Entity Type | Individual
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Provider Name | DAVID K OLIVER RN, CNN, CRNI
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Gender | Male
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 08/22/2012
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Provider Practice Location Address
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Address Line | 8901 WISCONSIN AVE BLDG 9, 1ST FLOOR, NEPHROLOGY CLINIC
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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 | 301-295-7812
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Fax | 301-400-1040
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Provider Business Mailing Address
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Address Line | 14217 NORTHWYN DRIVE
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City | SILVER SPRING
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State | MD
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Zip | 20904
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Country | US
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Telephone | 301-236-9881
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Fax |
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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 | 163WN0300X
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Taxonomy Name | Nephrology Registered Nurse
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License Number | R075503
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License Number State | MD
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