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NPI Code Detail

MEDICARE: JAMES R. O'HARA PA

MEDICARE: JAMES R. O'HARA PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantVA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043661820
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES R. O'HARA PA
Provider Business Mailing Address
First Line : 2901 TELESTAR CT.
Second Line : #300
City : FALLS CHURCH
State : VA
Zip : 22042-1263
Country : US
Telephone Number : 703-591-1688
Fax Number : 703-591-1445
Provider Business Practice Location Address
First Line : 2901 TELESTAR CT STE 100
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22042-1261
Country : US
Telephone Number : 703-208-9797
Fax Number : 703-591-0829
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2016
Last Update Date : 07/21/2023

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