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General NPI Number Information
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NPI Number | 1063316297
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Entity Type | Organization
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Legal Business Name | CODY COUNCIL ON AGING DBA CODY SENIOR CENTER
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 613 16TH ST
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City | CODY
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State | WY
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Zip | 82414-3302
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Country | US
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Telephone | 307-587-6221
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Fax | 307-587-9254
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Provider Business Mailing Address
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Address Line | 613 16TH ST
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City | CODY
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State | WY
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Zip | 82414-3302
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Country | US
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Telephone | 307-587-6221
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Fax | 307-587-9254
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Authorized Official
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Title or Position | EXECECUTIVE DIRECTOR
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Name | STEPHANIE A WEED
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Credential |
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Telephone | 307-587-6221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | NULL
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