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General NPI Number Information
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NPI Number | 1649262981
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Entity Type | Organization
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Legal Business Name | OMALLEY & HALL MDS PA
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2650 BAHIA VISTA ST SUITE 207
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City | SARASOTA
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State | FL
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Zip | 34239-2635
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Country | US
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Telephone | 941-366-8960
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Fax | 941-364-9111
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Provider Business Mailing Address
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Address Line | 2650 BAHIA VISTA ST SUITE 207
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City | SARASOTA
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State | FL
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Zip | 34239-2635
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Country | US
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Telephone | 941-366-8960
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Fax | 941-364-9111
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Authorized Official
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Title or Position | PHYSICIAN
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Name | THOMAS ANTHONY OMALLEY
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Credential | MD
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Telephone | 941-366-8960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State | NY
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