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General NPI Number Information
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NPI Number | 1679528319
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Entity Type | Organization
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Legal Business Name | DR. CODY DRAKE'S OFFICE
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 107 W DECATUR ST
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City | MADISON
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State | NC
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Zip | 27025-1907
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Country | US
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Telephone | 336-548-4800
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Fax | 336-548-4808
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Provider Business Mailing Address
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Address Line | 107 W DECATUR ST
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City | MADISON
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State | NC
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Zip | 27025-1907
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Country | US
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Telephone | 336-548-4800
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Fax | 336-548-4808
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Authorized Official
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Title or Position | OWNER
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Name | DR. CODY M CODY
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Credential | PODIATRY
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Telephone | 336-548-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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