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General NPI Number Information
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NPI Number | 1801388764
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Entity Type | Individual
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Provider Name | KATE ELAINE O'DONNELL DMD
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Gender | Female
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Dates
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Enumeration Date | 06/05/2018
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 5935 US HIGHWAY 27 N STE 103
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City | SEBRING
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State | FL
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Zip | 33870-1200
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Country | US
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Telephone | 863-382-0888
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Fax |
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Provider Business Mailing Address
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Address Line | 3923 SANTIAGO ST
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City | SEBRING
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State | FL
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Zip | 33872-2231
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Country | US
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Telephone | 319-610-4181
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN27828
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30.025459
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DDS-09736
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License Number State | IA
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