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NPI Code Detail

MEDICARE: DANIELLE CODY

MEDICARE: DANIELLE CODY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1372500000XChore ProviderLC001425019MO

General Provider Information

NPI Number : 1164807483
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE CODY
Provider Business Mailing Address
First Line : 100 S 4TH ST STE 550
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63102-1897
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 S 4TH ST STE 550
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63102-1897
Country : US
Telephone Number : 314-267-8646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2015
Last Update Date : 09/04/2015

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Directions to “ DANIELLE CODY ” Practice Location

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