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General NPI Number Information
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NPI Number | 1619123270
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Entity Type | Individual
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Provider Name | KATHLEEN ELISE O'NEILL MD
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Gender | Female
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Dates
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Enumeration Date | 08/14/2008
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Last Update Date | 10/21/2019
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Provider Practice Location Address
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Address Line | 3701 MARKET ST 8TH FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19104-5502
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Country | US
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Telephone | 215-662-3378
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Fax |
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Provider Business Mailing Address
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Address Line | 3701 MARKET ST 8TH FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19104-5502
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Country | US
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Telephone | 215-662-3378
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD448985
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | MD448985
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License Number State | PA
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