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General NPI Number Information
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NPI Number | 1902144512
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Entity Type | Individual
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Provider Name | DANIEL OLIVERO M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/17/2013
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 1243 SKYTOP MOUNTAIN RD STE 4
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City | PORT MATILDA
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State | PA
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Zip | 16870-7725
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Country | US
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Telephone | 602-400-3283
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Fax | 814-584-5751
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Provider Business Mailing Address
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Address Line | 1243 SKYTOP MOUNTAIN RD SUITE 4
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City | PORT MATILDA
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State | PA
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Zip | 16870-7725
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Country | US
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Telephone | 602-400-3283
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Fax | 814-584-5751
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-16741
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 46215
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 207870
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License Number State | AK
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C1-0026012
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License Number State | DE
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | CDR.0002656
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License Number State | CO
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C184112
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 074004
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License Number State | CT
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD210011928
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License Number State | DC
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Taxonomy #9
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 67578
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License Number State | AZ
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Taxonomy #10
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 333693
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License Number State | LA
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Taxonomy #11
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD455879
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License Number State | PA
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Taxonomy #12
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD455879
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License Number State | PA
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Taxonomy #13
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | MD455879
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License Number State | PA
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Taxonomy #14
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD455879
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License Number State | PA
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Taxonomy #15
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 2023-00319
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License Number State | NC
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