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General NPI Number Information
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NPI Number | 1487979662
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Entity Type | Individual
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Provider Name | ANNE PATRICIA ODELL PHD, FNP-C, APRN
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Gender | Female
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Dates
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Enumeration Date | 03/31/2010
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 99 63RD PL #9
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City | LONG BEACH
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State | CA
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Zip | 90803-5692
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Country | US
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Telephone | 626-841-8328
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Fax | 562-434-0388
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Provider Business Mailing Address
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Address Line | 99 63RD PL # 9
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City | LONG BEACH
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State | CA
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Zip | 90803-5692
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Country | US
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Telephone | 626-841-8328
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Fax | 562-434-0388
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 511451
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License Number State | CA
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