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General NPI Number Information
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NPI Number | 1346921905
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Entity Type | Organization
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Legal Business Name | ADAM O'NEILL & ASSOCIATES LLC
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Dates
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Enumeration Date | 07/27/2023
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 8324 PROFESSIONAL HILL DR
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City | FAIRFAX
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State | VA
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Zip | 22031-4611
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Country | US
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Telephone | 703-261-4177
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Fax |
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Provider Business Mailing Address
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Address Line | 8324 PROFESSIONAL HILL DR
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City | FAIRFAX
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State | VA
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Zip | 22031-4611
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Country | US
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Telephone | 703-261-4177
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ADAM O'NEILL
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Credential | PA-C
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Telephone | 703-261-4177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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