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General NPI Number Information
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NPI Number | 1518710235
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Entity Type | Individual
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Provider Name | JEFFREY DANIEL O'FLAHERTY DX
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Gender | Male
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Dates
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Enumeration Date | 04/10/2024
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Last Update Date | 04/10/2024
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Provider Practice Location Address
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Address Line | 2231 SAM RAYBURN HWY STE 200
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City | MELISSA
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State | TX
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Zip | 75454-2685
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Country | US
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Telephone | 469-861-5434
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Fax |
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Provider Business Mailing Address
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Address Line | 2231 SAM RAYBURN HWY STE 200
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City | MELISSA
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State | TX
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Zip | 75454-2685
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Country | US
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Telephone | 469-861-5434
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 15402
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License Number State | TX
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