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General NPI Number Information
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NPI Number | 1477837862
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Entity Type | Individual
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Provider Name | TAMARA O'NAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/04/2011
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 1401 DOVE ST STE 420
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2420
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Country | US
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Telephone | 949-945-0927
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Fax | 949-269-6263
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Provider Business Mailing Address
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Address Line | PO BOX 3699
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City | NEWPORT BEACH
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State | CA
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Zip | 92659-8699
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Country | US
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Telephone | 657-241-3600
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Fax | 657-241-7708
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA21869
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA21869
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License Number State | CA
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