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General NPI Number Information
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NPI Number | 1063412641
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Entity Type | Individual
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Provider Name | LOUIS E CODA MD
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Gender | Male
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 112 N 7TH ST
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-1720
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Country | US
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Telephone | 717-262-4546
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Fax | 717-263-1146
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Provider Business Mailing Address
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Address Line | 785 5TH AVENUE SUITE 3
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-4232
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Country | US
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Telephone | 717-263-9555
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Fax | 717-217-4218
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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 | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | MD048473L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD048473L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD048473L
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License Number State | PA
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