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General NPI Number Information
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NPI Number | 1770250128
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Entity Type | Individual
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Provider Name | CODY FOUGHT PHARM. D.
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Gender | Male
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Dates
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Enumeration Date | 08/24/2021
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Last Update Date | 08/24/2021
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Provider Practice Location Address
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Address Line | 201 WILLIAM ST
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-6505
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Country | US
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Telephone | 570-320-8794
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Fax | 570-320-8796
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Provider Business Mailing Address
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Address Line | 39 N 4TH ST
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City | HUGHESVILLE
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State | PA
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Zip | 17737-1905
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Country | US
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Telephone | 570-220-4071
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP439567
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License Number State | PA
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