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General NPI Number Information
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NPI Number | 1710472238
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Entity Type | Individual
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Provider Name | CAROLINA CUELLO ODERIZ MD
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Gender | Female
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Dates
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Enumeration Date | 06/27/2018
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 1350 LOCUST ST STE 105
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City | PITTSBURGH
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State | PA
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Zip | 15219-4738
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Country | US
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Telephone | 412-232-8683
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Fax |
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Provider Business Mailing Address
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Address Line | 3600 FORBES AVENUE FORBES TOWER - PLAZA LEVEL SUITE 140
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City | PITTSBURGH
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State | PA
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Zip | 15213
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Country | US
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Telephone | 315-464-4570
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD480198
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License Number State | PA
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