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General NPI Number Information
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NPI Number | 1053470286
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Entity Type | Individual
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Provider Name | GEORGE D O'NEIL ATC
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Gender | Male
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | PO BOX 71
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City | PRINCETON
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State | NJ
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Zip | 08542-0071
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Country | US
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Telephone | 609-258-3527
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Fax | 609-258-7045
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Provider Business Mailing Address
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Address Line | 2011 LEEDOMS DR
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City | NEWTOWN
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State | PA
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Zip | 18940-9420
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Country | US
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Telephone | 215-369-0502
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Fax | 609-258-7045
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 25MT00030500
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License Number State | NJ
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