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General NPI Number Information
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NPI Number | 1629715610
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Entity Type | Individual
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Provider Name | CHRISTOPHER O'MARA DO
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Gender | Male
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Dates
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Enumeration Date | 05/19/2022
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 300 E HOSPITAL RD
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City | FORT GORDON
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State | GA
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Zip | 30905
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Country | US
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Telephone | 508-802-0560
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Fax |
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Provider Business Mailing Address
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Address Line | 3208 WEST CT
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City | AUGUSTA
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State | GA
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Zip | 30907-3802
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Country | US
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Telephone | 508-802-0560
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0073314
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State |
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