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General NPI Number Information
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NPI Number | 1205210531
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Entity Type | Individual
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Provider Name | EMY ODURO-BURTON DNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/16/2015
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 1984 INDIAN HILL BLVD
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City | POMONA
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State | CA
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Zip | 91767-3620
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Country | US
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Telephone | 909-447-2323
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Fax | 909-447-1199
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Provider Business Mailing Address
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Address Line | 1984 INDIAN HILL BLVD
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City | POMONA
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State | CA
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Zip | 91767-3620
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Country | US
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Telephone | 909-447-2323
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Fax | 909-447-1199
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95004690
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 95004690
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License Number State | CA
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