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General NPI Number Information
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NPI Number | 1134705536
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Entity Type | Individual
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Provider Name | BAILEY ALYSS O'DONNELL MD
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Gender | Female
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Dates
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Enumeration Date | 03/24/2021
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 1 ATWELL RD
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City | COOPERSTOWN
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State | NY
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Zip | 13326
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Country | US
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Telephone | 607-547-3456
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Fax |
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Provider Business Mailing Address
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Address Line | 1 ATWELL RD
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City | COOPERSTOWN
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State | NY
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Zip | 13326
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Country | US
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Telephone | 607-547-3480
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Fax |
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 337913
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 337913
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 337913
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License Number State | NY
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