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General NPI Number Information
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NPI Number | 1326487703
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Entity Type | Individual
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Provider Name | ROBYN E ODZARK DO
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Gender | Female
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Dates
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Enumeration Date | 06/19/2013
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 2104 E VICTORY DR
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City | SAVANNAH
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State | GA
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Zip | 31404-5441
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Country | US
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Telephone | 901-600-1222
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Fax | 912-600-1262
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Provider Business Mailing Address
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Address Line | 2104 E VICTORY DR
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City | SAVANNAH
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State | GA
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Zip | 31404
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Country | US
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Telephone | 901-600-1222
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Fax | 912-600-1262
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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 | 82964
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License Number State | SC
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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 | 5101020421
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 91836
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License Number State | GA
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