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General NPI Number Information
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NPI Number | 1730041104
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Entity Type | Organization
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Legal Business Name | JAMES ODORISIO MD INC
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 244 HOSPITAL DR STE A
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City | UKIAH
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State | CA
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Zip | 95482-4557
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Country | US
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Telephone | 707-578-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 244 HOSPITAL DR STE A
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City | UKIAH
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State | CA
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Zip | 95482-4557
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMES ODORISIO
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Credential | MD
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Telephone | 415-408-8853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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