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General NPI Number Information
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NPI Number | 1851693436
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Entity Type | Individual
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Provider Name | OLIVIA IVY M.D. MPH AAHIVS
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Gender | Female
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Dates
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Enumeration Date | 12/02/2010
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 2927 GUADALUPE ST
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City | AUSTIN
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State | TX
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Zip | 78705-3721
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Country | US
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Telephone | 512-640-3100
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Fax | 833-687-1671
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Provider Business Mailing Address
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Address Line | 6255 W SUNSET BLVD FL 21
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City | LOS ANGELES
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State | CA
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Zip | 90028-7422
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Country | US
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Telephone | 323-860-5200
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Fax | 323-467-7119
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MT197947
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | S6386
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License Number State | TX
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