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General NPI Number Information
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NPI Number | 1316678303
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Entity Type | Individual
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Provider Name | EMILY O'MARA NP-C
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Gender | Female
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Dates
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Enumeration Date | 06/21/2022
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 2068 WOODMOOR RIDGE DR
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City | WILDWOOD
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State | MO
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Zip | 63011-1778
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Country | US
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Telephone | 636-484-1248
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Fax |
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Provider Business Mailing Address
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Address Line | 2025 ZUMBEHL RD
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City | SAINT CHARLES
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State | MO
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Zip | 63303-2723
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Country | US
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Telephone | 636-288-4149
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2018038256
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN313781
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2023025357
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License Number State | MO
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