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General NPI Number Information
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NPI Number | 1053320978
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Entity Type | Organization
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Legal Business Name | CODY'S LIMITED, PC
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 425 S 2ND ST
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City | CLINTON
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State | IA
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Zip | 52732-4212
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Country | US
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Telephone | 563-242-5900
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Fax | 563-242-5911
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Provider Business Mailing Address
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Address Line | 425 S 2ND ST
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City | CLINTON
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State | IA
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Zip | 52732-4212
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Country | US
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Telephone | 563-242-5900
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Fax | 563-242-5911
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. D. THANE ROMNEY CODY II
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Credential | M.D.
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Telephone | 563-242-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 31264
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License Number State | IA
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