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General NPI Number Information
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NPI Number | 1437167434
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Entity Type | Individual
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Provider Name | THOMAS O'CONNOR MD
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Gender | Male
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 08/26/2021
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Provider Practice Location Address
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Address Line | 2151 E COMMERCIAL BLVD STE 302
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-3807
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Country | US
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Telephone | 860-904-6779
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Fax | 860-904-6762
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Provider Business Mailing Address
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Address Line | 2151 E COMMERCIAL BLVD STE 302
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-3807
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Country | US
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Telephone | 860-904-6779
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Fax | 860-904-6762
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 043720
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME134602
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License Number State | FL
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