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General NPI Number Information
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NPI Number | 1912419383
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Entity Type | Individual
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Provider Name | ELIZABETH LYNN OLIVER FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/25/2017
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 243 THREE SPRINGS DR STE 5A
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City | WEIRTON
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State | WV
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Zip | 26062-3839
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Country | US
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Telephone | 740-792-4220
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Fax | 740-275-4472
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Provider Business Mailing Address
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Address Line | PO BOX 645532
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City | PITTSBURGH
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State | PA
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Zip | 15264-5253
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Country | US
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Telephone | 740-792-4220
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Fax | 740-275-4472
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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 | 349075
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP022061
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN90483
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License Number State | WV
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