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General NPI Number Information
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NPI Number | 1821386905
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Entity Type | Organization
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Legal Business Name | J OLIVIERI PROFESSIONAL HEALTH NETWORK LLC
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Dates
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Enumeration Date | 07/11/2011
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 3224 I 30 STE 118
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City | MESQUITE
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State | TX
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Zip | 75150-2693
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Country | US
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Telephone | 972-697-8580
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Fax | 214-602-7505
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Provider Business Mailing Address
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Address Line | 4512 RALPH LN
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City | DALLAS
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State | TX
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Zip | 75227-1845
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Country | US
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Telephone | 214-381-1910
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Fax | 214-381-2868
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Authorized Official
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Title or Position | PRESIDENT
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Name | JULIO CESAR OLIVIERI JR.
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Credential | M.D.
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Telephone | 214-381-1910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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