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General NPI Number Information
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NPI Number | 1417443367
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Entity Type | Individual
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Provider Name | MARGARET ODURO NP
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Gender | Female
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Dates
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Enumeration Date | 07/03/2018
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 7236 ELMWOOD AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19142-1533
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Country | US
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Telephone | 215-987-6141
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Fax | 267-703-2385
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Provider Business Mailing Address
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Address Line | 7236 ELMWOOD AVE UNIT 2
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City | PHILADELPHIA
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State | PA
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Zip | 19142-1533
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Country | US
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Telephone | 215-987-6141
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Fax | 267-703-2385
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN621024
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP027583
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | SP018810
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License Number State | PA
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