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General NPI Number Information
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NPI Number | 1467431536
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Entity Type | Individual
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Provider Name | MICHAEL WILLIAM O'HARA D.O.
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Gender | Male
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Dates
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Enumeration Date | 01/17/2006
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Last Update Date | 03/25/2019
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Provider Practice Location Address
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Address Line | 780 NJ ROUTE 37 WEST SUITE 330
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City | TOMS RIVER
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State | NJ
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Zip | 08755-0772
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Country | US
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Telephone | 732-780-2355
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Fax | 833-661-9952
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Provider Business Mailing Address
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Address Line | 71 MONTROSE RD
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City | COLTS NECK
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State | NJ
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Zip | 07722-1641
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Country | US
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Telephone | 732-546-8113
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Fax | 833-661-9952
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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 | 25MB06250000
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License Number State | NJ
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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 | 25MB06250000
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 25MB06250000
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License Number State | NJ
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