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General NPI Number Information
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NPI Number | 1740882901
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Entity Type | Individual
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Provider Name | NATOYA CODY
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Gender | Female
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Dates
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Enumeration Date | 11/12/2020
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 12912 KADEL
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City | CLEVELAND
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State | OH
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Zip | 44135-4413
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Country | US
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Telephone | 440-749-0908
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Fax |
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Provider Business Mailing Address
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Address Line | 12912 KADEL AVE
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City | CLEVELAND
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State | OH
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Zip | 44135-4744
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Country | US
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Telephone | 440-749-0908
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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 | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number | 1831630
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License Number State | OH
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