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General NPI Number Information
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NPI Number | 1659441772
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Entity Type | Individual
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Provider Name | MARY A O'DOWD MD
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Gender | Female
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | MMC - DEPT. OF PSYCHIATRY 111 EAST 210TH STREET KLAU 1
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City | BRONX
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State | NY
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Zip | 10467
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Country | US
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Telephone | 718-920-4796
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Fax |
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Provider Business Mailing Address
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Address Line | 515 W END AVE APT. 17B
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City | NEW YORK
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State | NY
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Zip | 10024-4345
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Country | US
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Telephone | 718-920-4796
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Fax | 718-920-6538
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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 | 133326
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License Number State | NY
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