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General NPI Number Information
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NPI Number | 1013957026
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Entity Type | Individual
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Provider Name | ROBERT H. ODELL JR. M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 8084 W SAHARA AVE SUITE E
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City | LAS VEGAS
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State | NV
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Zip | 89117-1977
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Country | US
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Telephone | 702-247-7246
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Fax | 702-586-2071
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Provider Business Mailing Address
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Address Line | 8635 W SAHARA 660
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City | LAS VEGAS
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State | NV
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Zip | 89117-5816
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Country | US
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Telephone | 702-257-7246
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Fax | 702-586-2071
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 5774
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License Number State | NV
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