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NPI Code Detail

MEDICARE: MR. JOSEPH DEAN OLIVER NP-C

MEDICARE: MR. JOSEPH DEAN OLIVER NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianAPRN.CNP.023570OH

General Provider Information

NPI Number : 1043792328
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSEPH DEAN OLIVER NP-C
Provider Business Mailing Address
First Line : 110 DUBLIN DR
Second Line :
City : DOVER
State : OH
Zip : 44622-7805
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 110 DUBLIN DR
Second Line :
City : DOVER
State : OH
Zip : 44622-7805
Country : US
Telephone Number : 330-343-7709
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2018
Last Update Date : 09/03/2018

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Directions to “ MR. JOSEPH DEAN OLIVER NP-C” Practice Location

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