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General NPI Number Information
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NPI Number | 1295937027
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Entity Type | Individual
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Provider Name | LINSEY DAWN O'DONNELL DO
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Gender | Female
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 501 W 14TH ST # 5W39
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City | WILMINGTON
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State | DE
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Zip | 19801-1013
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Country | US
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Telephone | 302-320-1912
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Fax | 302-421-2705
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Provider Business Mailing Address
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Address Line | 1901 N. MARKET ST.
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City | WILMINGTON
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State | DE
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Zip | 19802-2612
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Country | US
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Telephone | 302-421-2700
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Fax | 302-421-2705
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C7-0003791
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License Number State | DE
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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 | OS015280
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License Number State | PA
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