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General NPI Number Information
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NPI Number | 1538472212
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Entity Type | Organization
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Legal Business Name | GERALD J OCONNOR MD PA
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Dates
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Enumeration Date | 07/22/2010
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Last Update Date | 07/22/2010
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Provider Practice Location Address
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Address Line | 1411 N FLAGLER DR SUITE 6200
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3404
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Country | US
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Telephone | 561-659-1238
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Fax | 561-659-0492
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Provider Business Mailing Address
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Address Line | 1411 N FLAGLER DR SUITE 6200
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3404
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Country | US
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Telephone | 561-659-1238
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Fax | 561-659-0492
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. GERALD JAMES OCONNOR
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Credential | M.D.
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Telephone | 561-659-1238
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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 | ME31871
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License Number State | FL
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