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General NPI Number Information
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NPI Number | 1831388891
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Entity Type | Organization
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Legal Business Name | NELSON OLAGUIBEL DO PA
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 08/31/2012
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Provider Practice Location Address
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Address Line | 1825 FOREST HILL BLVD SUITE 203
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-8902
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Country | US
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Telephone | 561-967-3606
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Fax | 561-967-1611
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Provider Business Mailing Address
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Address Line | 1825 FOREST HILL BLVD SUITE 203
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-8902
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Country | US
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Telephone | 561-967-3606
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Fax | 561-967-1611
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. NELSON EDUARDO OLAGUIBEL
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Credential | D.O.
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Telephone | 561-967-3606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS0005744
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License Number State | FL
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