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General NPI Number Information
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NPI Number | 1083105423
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Entity Type | Individual
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Provider Name | ELIZABETH ERIN ODIL MD
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Gender | Female
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Dates
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Enumeration Date | 05/22/2018
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 2373 G RD STE 280
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1006
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Country | US
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Telephone | 970-243-9340
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Fax | 970-241-6894
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Provider Business Mailing Address
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Address Line | PO BOX 1727
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City | GRAND JUNCTION
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State | CO
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Zip | 81502-1727
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Country | US
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Telephone | 970-257-6200
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Fax | 970-263-2691
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 57.256861
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | DR.0076361
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License Number State | CO
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