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General NPI Number Information
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NPI Number | 1770584724
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Entity Type | Individual
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Provider Name | JAMES M OHARA M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 11/12/2009
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Provider Practice Location Address
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Address Line | 300 KENSINGTON AVENUE GROVE HILL MEDICAL CENTER
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City | NEW BRITAIN
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State | CT
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Zip | 06051
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Country | US
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Telephone | 860-832-8150
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Fax | 860-224-6298
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Provider Business Mailing Address
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Address Line | 300 KENSINGTON AVE GROVE HILL MEDICAL CENTER
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City | NEW BRITAIN
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State | CT
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Zip | 06051-3999
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Country | US
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Telephone | 860-832-8150
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Fax | 860-224-6298
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 028121
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License Number State | CT
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