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General NPI Number Information
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NPI Number | 1407213853
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Entity Type | Individual
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Provider Name | PATRICK CODY LCSW-C
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Gender | Male
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Dates
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Enumeration Date | 01/15/2016
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 5480 WISCONSIN AVE STE 227
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City | BETHESDA
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State | MD
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Zip | 20815-3500
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Country | US
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Telephone | 240-781-9420
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Fax |
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Provider Business Mailing Address
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Address Line | 2522 24TH ST N
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City | ARLINGTON
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State | VA
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Zip | 22207-4907
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Country | US
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Telephone | 202-247-0170
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 18563
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License Number State | MD
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