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General NPI Number Information
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NPI Number | 1528244373
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Entity Type | Organization
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Legal Business Name | JAMES E ONEILL PHYSICIAN PC
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Dates
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Enumeration Date | 01/10/2008
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Last Update Date | 01/10/2008
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Provider Practice Location Address
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Address Line | 1980 CROMPOND RD
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City | CORTLANDT MANOR
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State | NY
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Zip | 10567-4144
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Country | US
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Telephone | 914-737-9000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 30535
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City | NEW YORK
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State | NY
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Zip | 10087-0535
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Country | US
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Telephone | 760-414-1438
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Fax | 760-414-1575
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Authorized Official
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Title or Position | DIRECTIOR
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Name | DR. JAMES E O'NEILL JR.
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Credential | MD
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Telephone | 212-251-0921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 148373
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License Number State | NY
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