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General NPI Number Information
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NPI Number | 1285898916
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Entity Type | Individual
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Provider Name | PATRICK JOSEPH O'DONNELL M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2008
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Last Update Date | 10/01/2012
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Provider Practice Location Address
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Address Line | 1319 PUNAHOU ST STE 1120
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City | HONOLULU
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State | HI
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Zip | 96826-1089
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Country | US
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Telephone | 808-983-6447
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Fax | 808-983-8854
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Provider Business Mailing Address
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Address Line | 1319 PUNAHOU ST STE 1120
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City | HONOLULU
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State | HI
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Zip | 96826-1089
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Country | US
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Telephone |
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MT186168
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MD437481
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MD-15250
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License Number State | HI
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