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General NPI Number Information
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NPI Number | 1467983486
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Entity Type | Individual
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Provider Name | APRIL J ODOM NP
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Gender | Female
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Dates
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Enumeration Date | 03/22/2017
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 19740 GOVERNORS HWY STE 116
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City | FLOSSMOOR
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State | IL
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Zip | 60422-2085
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Country | US
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Telephone | 708-607-2503
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Fax | 788-200-3824
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Provider Business Mailing Address
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Address Line | 19740 GOVERNORS HWY STE 116
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City | FLOSSMOOR
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State | IL
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Zip | 60422-2085
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Country | US
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Telephone | 708-607-2503
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Fax | 778-200-3824
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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 | 041369139
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 277000369
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License Number State | IL
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