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Individual
MS. TARA MARIE O'BRIEN
Active
Individual
MS. TARA MARIE O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009181
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02711791
—
NY
Enumeration date
07/21/2006
Last updated
06/20/2008
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