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General NPI Number Information
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NPI Number | 1972366706
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Entity Type | Individual
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Provider Name | OLIVIA FOLEY PHYSICIAN ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 02/05/2024
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 2420 E PLAZA DR
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5353
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Country | US
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Telephone | 850-701-0621
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Fax |
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Provider Business Mailing Address
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Address Line | 2420 E PLAZA DR
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5353
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Country | US
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Telephone | 850-701-0621
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 9118349
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License Number State | FL
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