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NPI Code Detail

MEDICARE: MS. TARA CANDICE O'NEILL-ROSALES

MEDICARE: MS. TARA CANDICE O'NEILL-ROSALES
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
1171M00000XCase Manager/Care CoordinatorMA

General Provider Information

NPI Number : 1366300907
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TARA CANDICE O'NEILL-ROSALES
Provider Business Mailing Address
First Line : 255 ELM ST STE 204
Second Line :
City : SOMERVILLE
State : MA
Zip : 02144-2947
Country : US
Telephone Number : 617-422-1840
Fax Number :
Provider Business Practice Location Address
First Line : 255 ELM ST STE 204
Second Line :
City : SOMERVILLE
State : MA
Zip : 02144-2947
Country : US
Telephone Number : 617-422-1840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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