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General NPI Number Information
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NPI Number | 1598941973
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Entity Type | Organization
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Legal Business Name | PATRICK J O'NEILL DO
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Dates
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Enumeration Date | 01/15/2008
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 1414 ARLINGTON ST SUITE 2200
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City | ADA
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State | OK
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Zip | 74820-2643
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Country | US
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Telephone | 580-310-9800
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Fax | 580-310-9803
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Provider Business Mailing Address
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Address Line | 1414 ARLINGTON ST SUITE 2200
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City | ADA
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State | OK
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Zip | 74820-2643
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Country | US
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Telephone | 580-310-9800
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Fax | 580-310-9803
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. PATRICK JOHN O'NEILL
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Credential | DO
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Telephone | 580-310-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OK4149
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License Number State | OK
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