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General NPI Number Information
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NPI Number | 1982705745
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Entity Type | Organization
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Legal Business Name | DAVID C. O'NEIL, MD PHD, PC
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 3755 ABBOTT RD
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City | ORCHARD PARK
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State | NY
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Zip | 14127-2115
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Country | US
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Telephone | 716-649-4454
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Fax | 716-649-4794
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Provider Business Mailing Address
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Address Line | 3755 ABBOTT RD
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City | ORCHARD PARK
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State | NY
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Zip | 14127-2115
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Country | US
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Telephone | 716-649-4454
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Fax | 716-649-4794
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID CHARLES O'NEIL
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Credential | M.D.
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Telephone | 716-649-4454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 172109
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License Number State | NY
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