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General NPI Number Information
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NPI Number | 1881142289
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Entity Type | Individual
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Provider Name | CODY KELLY PT
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Gender | Male
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Dates
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Enumeration Date | 09/14/2016
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Last Update Date | 09/14/2016
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Provider Practice Location Address
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Address Line | 7455 MORGAN RD SUITE 2
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City | LIVERPOOL
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State | NY
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Zip | 13090-3956
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Country | US
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Telephone | 315-451-6767
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Fax | 315-451-0569
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Provider Business Mailing Address
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Address Line | 1 WEST AVE SUITE 150
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-6045
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Country | US
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Telephone | 518-240-1152
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Fax | 518-400-1414
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 040817
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License Number State | NY
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