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General NPI Number Information
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NPI Number | 1245883669
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Entity Type | Individual
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Provider Name | CODY JAMES LABELLE DMD
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Gender | Male
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Dates
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Enumeration Date | 07/24/2019
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 440 S STATE ROAD 7 STE 100
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33414-4414
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Country | US
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Telephone | 561-753-6963
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Fax |
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Provider Business Mailing Address
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Address Line | 4529 CARAMBOLA CIR S
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City | COCONUT CREEK
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State | FL
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Zip | 33066-2925
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Country | US
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Telephone | 828-551-7184
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 24416
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License Number State | FL
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