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General NPI Number Information
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NPI Number | 1134888415
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Entity Type | Organization
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Legal Business Name | KELSEY CODY DDS PLLC
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Dates
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Enumeration Date | 12/14/2021
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Last Update Date | 12/14/2021
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Provider Practice Location Address
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Address Line | 41 GHORMLEY ST
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City | ROBBINSVILLE
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State | NC
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Zip | 28771
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Country | US
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Telephone | 828-479-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 26 E BUFFALO RD
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City | ROBBINSVILLE
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State | NC
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Zip | 28771-6995
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Country | US
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Telephone | 828-735-1683
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | KELSEY K CODY
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Credential | DDS
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Telephone | 828-735-1683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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