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General NPI Number Information
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NPI Number | 1871462812
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Entity Type | Individual
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Provider Name | OLIVIA CLEMO REMILLARD CPNP-PC, CPNP-AC
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Gender | Female
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 747 BELDEN AVE
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City | NORWALK
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State | CT
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Zip | 06850-3348
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Country | US
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Telephone | 877-925-3637
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Fax |
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Provider Business Mailing Address
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Address Line | 5146 SKYLINE DR
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City | SYRACUSE
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State | NY
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Zip | 13215-2446
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Country | US
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Telephone | 571-531-0057
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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 | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | 015653
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 015653
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License Number State | CT
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