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General NPI Number Information
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NPI Number | 1821154121
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Entity Type | Individual
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Provider Name | RYAN GENE O'HARA M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 5343 S. WOODROW ST.
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City | MURRAY
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State | UT
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Zip | 84107
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Country | US
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Telephone | 801-810-2999
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Fax | 801-396-9157
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Provider Business Mailing Address
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Address Line | 5343 S WOODROW ST
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City | MURRAY
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State | UT
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Zip | 84107-5840
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Country | US
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Telephone | 801-810-2999
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Fax | 801-396-9157
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 7832708-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 7832708-1205
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 036.176508
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | MT189294
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 036.176508
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License Number State | IL
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