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General NPI Number Information
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NPI Number | 1053592717
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Entity Type | Organization
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Legal Business Name | ODYSSEY CHARTER SCHOOL
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Dates
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Enumeration Date | 11/21/2007
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Last Update Date | 07/08/2008
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Provider Practice Location Address
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Address Line | 3821 LANCASTER PIKE
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City | WILMINGTON
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State | DE
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Zip | 19805-1512
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Country | US
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Telephone | 302-994-6490
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Fax | 302-994-6915
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Provider Business Mailing Address
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Address Line | 3821 LANCASTER PIKE
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City | WILMINGTON
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State | DE
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Zip | 19805-1512
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Country | US
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Telephone | 302-994-6490
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Fax | 302-994-6915
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Authorized Official
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Title or Position | HEAD OF SCHOOL
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Name | MR. ANTHONY SKOUTELAS
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Credential |
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Telephone | 302-994-6491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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