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NPI 1265048300

NPI 1265048300 : VICTORIA IJEOMA ODOH ARNP, DNP ACUTE CARE : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1265048300
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    Entity Type          |    Individual 
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    Provider Name        |    VICTORIA IJEOMA ODOH ARNP, DNP ACUTE CARE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/22/2020
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    Last Update Date     |    07/08/2024
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Provider Practice Location Address
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    Address Line         |    1660 S COLUMBIAN WAY 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98108-1532
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    Country              |    US
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    Telephone            |    206-762-1010
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1660 S COLUMBIAN WAY 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98108-1532
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    Country              |    US
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    Telephone            |    206-451-9635
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    AP61508306
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    AP61508306
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    License Number State |    WA
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