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General NPI Number Information
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NPI Number | 1962701763
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Entity Type | Individual
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Provider Name | MICHAEL JOHN O'CONNOR O.D.
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Gender | Male
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Dates
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Enumeration Date | 03/18/2011
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 298 COLONIAL DR
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City | HORSEHEADS
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State | NY
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Zip | 14845-8400
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Country | US
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Telephone | 607-796-6284
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Fax | 607-796-6617
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Provider Business Mailing Address
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Address Line | 298 COLONIAL DR
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City | HORSEHEADS
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State | NY
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Zip | 14845-8400
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Country | US
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Telephone | 607-796-6284
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Fax | 607-796-6617
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5600760
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 007670
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License Number State | NY
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