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General NPI Number Information
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NPI Number | 1568425247
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Entity Type | Individual
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Provider Name | CHERIE H O'BRIEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1600 W COLLEGE ST SUITE 410
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City | GRAPEVINE
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State | TX
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Zip | 76051-3580
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Country | US
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Telephone | 817-329-4433
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Fax | 817-329-0190
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Provider Business Mailing Address
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Address Line | 1600 W COLLEGE ST SUITE 410
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City | GRAPEVINE
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State | TX
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Zip | 76051-3580
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Country | US
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Telephone | 817-329-4433
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Fax | 817-329-0190
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | K6664
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License Number State | TX
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