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NPI Code Detail

MEDICARE: TARA O'CONNELL

MEDICARE: TARA O'CONNELL
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1477128437
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARA O'CONNELL
Provider Business Mailing Address
First Line : 1 SUSSEX AVE
Second Line :
City : MILFORD
State : DE
Zip : 19963-1853
Country : US
Telephone Number : 302-327-9219
Fax Number :
Provider Business Practice Location Address
First Line : 1 SUSSEX AVE
Second Line :
City : MILFORD
State : DE
Zip : 19963-1853
Country : US
Telephone Number : 302-327-9219
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2021
Last Update Date : 10/23/2025

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Directions to “ TARA O'CONNELL ” Practice Location

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