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General NPI Number Information
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NPI Number | 1750611190
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Entity Type | Individual
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Provider Name | BRENDAN MICHAEL O'DONNELL D.O.
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Gender | Male
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Dates
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Enumeration Date | 01/07/2010
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 1333 TAYLOR ST STE D
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City | COLUMBIA
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State | SC
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Zip | 29201-2923
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Country | US
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Telephone | 803-438-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 85 S WEST ST
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City | HOMER
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State | NY
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Zip | 13077-1542
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Country | US
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Telephone | 607-753-3797
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Fax | 607-753-6677
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | OS18219
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 268557
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 93954
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License Number State | SC
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