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General NPI Number Information
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NPI Number | 1790909737
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Entity Type | Individual
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Provider Name | NANCY HOFREUTER O'HARA M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/30/2013
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Provider Practice Location Address
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Address Line | 3 HOLLYHOCK RD
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City | WILTON
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State | CT
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Zip | 06897-4443
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Country | US
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Telephone | 203-834-2813
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Fax | 203-834-2831
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Provider Business Mailing Address
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Address Line | 3 HOLLYHOCK LANE
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City | WILTON
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State | CT
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Zip | 06897
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Country | US
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Telephone | 203-834-2813
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Fax | 203-834-2831
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 032831
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License Number State | CT
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