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General NPI Number Information
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NPI Number | 1881539385
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Entity Type | Individual
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Provider Name | ABIGALE GRACE OLIVE
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Gender | Female
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 200 PROSSER HEALTH DR
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City | PROSSER
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State | WA
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Zip | 99350-7832
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Country | US
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Telephone | 404-645-5272
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Fax |
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Provider Business Mailing Address
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Address Line | 1040 MAKAH CT
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City | RICHLAND
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State | WA
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Zip | 99352-4120
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN313137
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License Number State | WA
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