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General NPI Number Information
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NPI Number | 1770800658
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Entity Type | Individual
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Provider Name | AMY MARIE DILLON CODY MSW, LISW
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Gender | Female
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Dates
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Enumeration Date | 04/30/2010
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Last Update Date | 08/20/2020
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Provider Practice Location Address
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Address Line | 24481 DETROIT RD STE 201
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City | WESTLAKE
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State | OH
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Zip | 44145-1557
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Country | US
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Telephone | 440-381-8240
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Fax | 440-625-2592
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Provider Business Mailing Address
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Address Line | 1242 WEBB RD
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City | LAKEWOOD
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State | OH
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Zip | 44107-2230
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Country | US
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Telephone | 216-409-7657
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S1000751
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.2002300
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License Number State | OH
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