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General NPI Number Information
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NPI Number | 1336430818
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Entity Type | Individual
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Provider Name | GLORIA ODUM M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/02/2011
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 1400 N COIT RD
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City | MCKINNEY
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State | TX
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Zip | 75071-6655
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Country | US
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Telephone | 512-222-6419
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Fax | 888-815-3583
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Provider Business Mailing Address
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Address Line | 1400 N COIT RD STE 302
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City | MCKINNEY
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State | TX
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Zip | 75071-6656
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Country | US
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Telephone | 512-222-6419
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Fax | 888-815-3583
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | P9929
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License Number State | TX
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