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General NPI Number Information
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NPI Number | 1659437663
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Entity Type | Individual
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Provider Name | JOSEPH M. OLIVEIRA M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 08/24/2007
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Provider Practice Location Address
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Address Line | JOHN DEMPSEY HOSPITAL 263 FARMINGTON AVENUE
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City | FARMINGTON
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State | CT
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Zip | 06030-0001
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Country | US
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Telephone | 860-679-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 63 SUMMER ST
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City | NEW CANAAN
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State | CT
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Zip | 06840-4813
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Country | US
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Telephone | 917-353-9547
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 042663
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License Number State | CT
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