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General NPI Number Information
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NPI Number | 1700539202
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Entity Type | Individual
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Provider Name | TIMOTHY O'CONNOR MA
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Gender | Male
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 555 RIAL LN
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City | GREENSBURG
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State | PA
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Zip | 15601-4683
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Country | US
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Telephone | 724-787-5212
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Fax |
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Provider Business Mailing Address
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Address Line | 4697 LOGAN FERRY RD
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City | MURRYSVILLE
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State | PA
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Zip | 15668-9747
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Country | US
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Telephone | 724-261-6036
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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