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General NPI Number Information
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NPI Number | 1275869315
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Entity Type | Organization
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Legal Business Name | ROBERT W. O'LEARY, M.D., P.C.
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Dates
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Enumeration Date | 10/25/2009
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Last Update Date | 09/13/2010
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Provider Practice Location Address
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Address Line | 285 SILLS RD STE 9D
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City | EAST PATCHOGUE
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State | NY
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Zip | 11772-4869
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Country | US
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Telephone | 631-569-4114
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Fax | 631-569-4115
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Provider Business Mailing Address
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Address Line | 11 AMY DR
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City | SAYVILLE
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State | NY
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Zip | 11782-3224
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Country | US
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Telephone | 631-569-4114
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Fax | 631-569-4115
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT W. O'LEARY
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Credential | M.D.
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Telephone | 631-569-4114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State | NULL
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