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General NPI Number Information
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NPI Number | 1043885387
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Entity Type | Individual
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Provider Name | ROSA MARIA O'CONNOR BA
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Gender | Female
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 3036 PERKINS CT
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City | EUREKA
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State | CA
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Zip | 95501-7517
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Country | US
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Telephone | 413-214-2263
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 4TH ST N STE 300
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4399
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Country | US
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Telephone | 413-214-2263
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 015638
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License Number State | CT
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