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General NPI Number Information
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NPI Number | 1760786933
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Entity Type | Organization
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Legal Business Name | OCONNOR FAMILY MEDICINE PLLC
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Dates
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Enumeration Date | 01/03/2011
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Last Update Date | 10/31/2016
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Provider Practice Location Address
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Address Line | 309 E FARWELL RD 204
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City | SPOKANE
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State | WA
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Zip | 99218-8207
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Country | US
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Telephone | 509-385-0600
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Fax | 509-466-4798
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Provider Business Mailing Address
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Address Line | 309 E FARWELL RD 204
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City | SPOKANE
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State | WA
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Zip | 99218-8207
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Country | US
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Telephone | 509-385-0600
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Fax | 509-466-4798
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY ROBERT O'CONNOR
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Credential |
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Telephone | 509-385-0600
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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 |
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License Number State |
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