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General NPI Number Information
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NPI Number | 1801378260
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Entity Type | Individual
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Provider Name | ODESSA K BILLAMOR MSW
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Gender | Female
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Dates
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Enumeration Date | 09/02/2018
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Last Update Date | 09/02/2018
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Provider Practice Location Address
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Address Line | 4455 NE HWY 20
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City | CORVALLIS
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State | OR
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Zip | 97330
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Country | US
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Telephone | 541-757-1852
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Fax |
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Provider Business Mailing Address
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Address Line | 1409 32ND AVE. SE
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City | ALBANY
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State | OR
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Zip | 97322
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Country | US
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Telephone | 541-220-3343
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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