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General NPI Number Information
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NPI Number | 1144025909
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Entity Type | Individual
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Provider Name | CODY MCKAY HIDY PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 3465 YORK COMMONS BLVD
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City | DAYTON
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State | OH
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Zip | 45414-2675
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Country | US
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Telephone | 937-454-6290
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Fax |
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Provider Business Mailing Address
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Address Line | 5407 RICHMOOR RD
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City | SPRINGFIELD
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State | OH
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Zip | 45503-5645
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Country | US
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Telephone | 937-215-7928
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03237373
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License Number State | OH
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