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General NPI Number Information
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NPI Number | 1649791724
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Entity Type | Individual
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Provider Name | MARINA GALE ODOM PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/29/2017
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 720 E HWY 74 BUS
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City | ROCKINGHAM
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State | NC
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Zip | 28379
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Country | US
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Telephone | 910-582-3565
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Fax | 910-582-3574
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Provider Business Mailing Address
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Address Line | 515 PROSPERITY LN
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City | PINEBLUFF
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State | NC
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Zip | 28373-4401
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Country | US
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Telephone | 443-859-5483
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 24567
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License Number State | NC
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