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General NPI Number Information
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NPI Number | 1477538148
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Entity Type | Individual
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Provider Name | ERIN ELIZABETH CODY MD
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Gender | Female
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Dates
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Enumeration Date | 12/14/2005
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Last Update Date | 12/02/2010
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Provider Practice Location Address
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Address Line | 6452 MILLENNIUM SUITE 100
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City | LANSING
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State | MI
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Zip | 48917-7881
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Country | US
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Telephone | 800-207-4919
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Fax | 615-309-6536
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Provider Business Mailing Address
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Address Line | 95 NATURE WAY
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City | OKEMOS
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State | MI
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Zip | 48864-1242
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Country | US
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Telephone | 800-207-4919
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Fax | 615-309-6536
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301095692
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License Number State | MI
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