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NPI Code Detail

MEDICARE: CASSIDY GENE O'NEILL

MEDICARE: CASSIDY GENE O'NEILL
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
13747P1801XPersonal Care Attendant
2372600000XAdult Companion

General Provider Information

NPI Number : 1902611973
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSIDY GENE O'NEILL
Provider Business Mailing Address
First Line : 510 N PLATTE AVE
Second Line :
City : JUNIATA
State : NE
Zip : 68955-5521
Country : US
Telephone Number : 402-519-0759
Fax Number :
Provider Business Practice Location Address
First Line : 2208 N WEBB RD UNIT 4
Second Line :
City : GRAND ISLAND
State : NE
Zip : 68803-1756
Country : US
Telephone Number : 308-381-1690
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2025
Last Update Date : 06/17/2025

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Directions to “ CASSIDY GENE O'NEILL ” Practice Location

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