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General NPI Number Information
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NPI Number | 1679749378
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Entity Type | Individual
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Provider Name | ROSEMARY MARIE OLIVERO M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/02/2008
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 35 MICHIGAN ST NE SUITE 3003
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-2514
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Country | US
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Telephone | 616-267-2300
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Fax | 616-267-2301
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Provider Business Mailing Address
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Address Line | 100 MICHIGAN ST NE MC 845
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-2560
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Country | US
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Telephone |
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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 | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number | 4301100781
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4301100781
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License Number State | MI
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