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General NPI Number Information
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NPI Number | 1922625185
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Entity Type | Individual
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Provider Name | MICHAEL O'BRIEN PA
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Gender | Male
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Dates
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Enumeration Date | 07/02/2020
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 70 ACREBROOK DR
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City | FLORENCE
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State | MA
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Zip | 01062-3421
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Country | US
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Telephone | 413-210-8823
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Fax |
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Provider Business Mailing Address
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Address Line | 70 ACREBROOK DR
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City | FLORENCE
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State | MA
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Zip | 01062-3421
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Country | US
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Telephone | 413-210-8823
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA200001682
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 031368
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA100930
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085010117
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 123128
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License Number State | IA
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Taxonomy #6
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5601012132
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2023043567
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License Number State | MO
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Taxonomy #8
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C08887
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License Number State | MD
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Taxonomy #9
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 7143
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License Number State | CT
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Taxonomy #10
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA58546
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License Number State | CA
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