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General NPI Number Information
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NPI Number | 1518346378
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Entity Type | Individual
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Provider Name | MELISSA O'MEARA M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/27/2015
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 180 S FRONTAGE RD W
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City | VAIL
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State | CO
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Zip | 81657-5038
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Country | US
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Telephone | 970-926-6340
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Fax | 970-926-6348
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Provider Business Mailing Address
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Address Line | PO BOX 4330
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City | AVON
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State | CO
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Zip | 81620-4330
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Country | US
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Telephone | 970-926-6340
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Fax | 970-926-6348
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DR.0059885
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | TL0005581
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DR.0059885
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License Number State | CO
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