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General NPI Number Information
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NPI Number | 1225899065
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Entity Type | Individual
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Provider Name | GLORIA ODOM
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Gender | Female
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Dates
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Enumeration Date | 01/18/2024
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 7383 126TH PL SE
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City | NEWCASTLE
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State | WA
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Zip | 98056-1303
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Country | US
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Telephone | 206-683-1507
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Fax |
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Provider Business Mailing Address
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Address Line | 7383 126TH PL SE
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City | NEWCASTLE
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State | WA
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Zip | 98056-1303
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Country | US
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Telephone | 206-683-1507
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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 | 171R00000X
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Taxonomy Name | Interpreter
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License Number | 021078
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171R00000X
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Taxonomy Name | Interpreter
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License Number | 652
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 171R00000X
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Taxonomy Name | Interpreter
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License Number | 201611
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License Number State |
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