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General NPI Number Information
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NPI Number | 1982301859
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Entity Type | Individual
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Provider Name | WILLIAM OHARA PHMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 4282 N QUAIL CANYON DR
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City | TUCSON
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State | AZ
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Zip | 85750-6917
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Country | US
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Telephone | 520-612-0466
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Fax |
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Provider Business Mailing Address
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Address Line | 826 WILLITS ST
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City | LAS VEGAS
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State | NV
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Zip | 89138-4698
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Country | US
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Telephone | 480-980-7309
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 287014
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License Number State | AZ
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