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General NPI Number Information
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NPI Number | 1881705051
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Entity Type | Organization
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Legal Business Name | ODIN CORP.
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 04/01/2011
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Provider Practice Location Address
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Address Line | 1532 HAYWOOD RD
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-2338
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Country | US
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Telephone | 828-696-0533
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Fax | 828-696-1487
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Provider Business Mailing Address
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Address Line | 1532 HAYWOOD RD
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-2338
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Country | US
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Telephone | 828-696-0533
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Fax | 828-696-1487
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. AARON EDNEY
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Credential |
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Telephone | 828-696-0533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 1487
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License Number State | NC
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