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General NPI Number Information
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NPI Number | 1467412163
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Entity Type | Individual
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Provider Name | PATRICK R O'NEIL M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/25/2006
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 2320 CONCORD RD SUITE C
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City | LAFAYETTE
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State | IN
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Zip | 47909-2708
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Country | US
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Telephone | 317-567-2180
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Fax | 317-567-2191
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Provider Business Mailing Address
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Address Line | 2320 CONCORD RD SUITE C
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City | LAFAYETTE
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State | IN
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Zip | 47909-2708
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Country | US
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Telephone | 317-567-2180
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Fax | 317-567-2191
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 01026331
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License Number State | IN
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