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General NPI Number Information
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NPI Number | 1255199295
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Entity Type | Organization
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Legal Business Name | ODYSSEY PSYCHIATRY AND WELLNESS PLLC
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 8502 SIX FORKS RD STE 102
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City | RALEIGH
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State | NC
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Zip | 27615-3264
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Country | US
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Telephone | 984-207-1098
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Fax | 984-202-2194
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Provider Business Mailing Address
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Address Line | 8502 SIX FORKS RD STE 102
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City | RALEIGH
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State | NC
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Zip | 27615-3264
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Country | US
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Telephone | 984-207-1098
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Fax | 984-202-2194
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MEGAN ZARTMAN
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Credential |
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Telephone | 984-207-1098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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