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General NPI Number Information
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NPI Number | 1205084316
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Entity Type | Individual
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Provider Name | CHINYERE ODU MD
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Gender | Female
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 08/25/2024
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Provider Practice Location Address
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Address Line | 6842 MAIN ST STE 203
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City | FRISCO
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State | TX
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Zip | 75033-4243
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Country | US
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Telephone | 469-633-9300
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Fax | 469-633-9301
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Provider Business Mailing Address
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Address Line | 6638 MOUNTAIN SKY RD
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City | FRISCO
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State | TX
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Zip | 75036-1322
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Country | US
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Telephone |
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Fax | 469-633-9301
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N8330
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License Number State | TX
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