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General NPI Number Information
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NPI Number | 1598886897
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Entity Type | Individual
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Provider Name | WILLIAM P O'MEARA M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 03/28/2018
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Provider Practice Location Address
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Address Line | 295 VARNUM AVE
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City | LOWELL
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State | MA
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Zip | 01854-2134
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Country | US
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Telephone | 978-937-6274
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Fax | 978-934-8490
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Provider Business Mailing Address
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Address Line | 11 STARR AVE E
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City | ANDOVER
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State | MA
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Zip | 01810-4286
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Country | US
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Telephone | 781-510-2273
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | MD441007
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 224644
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 15486
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 249953
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License Number State | MA
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