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General NPI Number Information
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NPI Number | 1538029509
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Entity Type | Individual
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Provider Name | CONNOR O'CALLAGHAN DPT
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Gender | Male
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 18 CHESTNUT ST STE 200
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City | WORCESTER
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State | MA
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Zip | 01608-1557
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Country | US
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Telephone | 800-244-2756
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Fax | 508-831-9768
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Provider Business Mailing Address
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Address Line | 180 BROOKLINE AVE UNIT 532
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City | BOSTON
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State | MA
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Zip | 02215-3926
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Country | US
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Telephone |
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 89026
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License Number State | MA
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