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General NPI Number Information
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NPI Number | 1720606874
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Entity Type | Individual
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Provider Name | CODY FEHRMAN DC
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Gender | Male
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Dates
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Enumeration Date | 07/06/2020
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 1025 WOODRUFF RD STE A104
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City | GREENVILLE
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State | SC
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Zip | 29607-4133
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Country | US
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Telephone | 740-630-4350
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Fax |
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Provider Business Mailing Address
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Address Line | 30 CHOSEN CT
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City | GREER
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State | SC
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Zip | 29650-2659
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Country | US
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Telephone | 740-630-4350
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104557592
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4717
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License Number State | SC
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