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General NPI Number Information
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NPI Number | 1831233261
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Entity Type | Individual
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Provider Name | MELISSA ODORZYNSKI PHARM.D., MPH
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Gender | Female
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Dates
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Enumeration Date | 02/18/2007
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Last Update Date | 06/20/2013
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Provider Practice Location Address
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Address Line | 3459 WASHINGTON DR SUITE 200A
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City | EAGAN
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State | MN
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Zip | 55122-1347
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Country | US
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Telephone | 952-657-7481
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Fax |
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Provider Business Mailing Address
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Address Line | 20712 JUTLAND PL
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City | LAKEVILLE
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State | MN
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Zip | 55044-4916
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Country | US
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Telephone | 608-695-8318
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 14745-040
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 119590
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License Number State | MN
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