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General NPI Number Information
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NPI Number | 1821038092
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Entity Type | Individual
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Provider Name | JAMES V O'CONNELL MD
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Gender | Male
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 10/20/2021
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Provider Practice Location Address
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Address Line | 72785 FRANK SINATRA DR STE 101
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-3207
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Country | US
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Telephone | 760-969-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 2285 CORPORATE CIR STE 200
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City | HENDERSON
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State | NV
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Zip | 89074-7759
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Country | US
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Telephone | 702-360-2763
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | G18672
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License Number State | CA
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