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General NPI Number Information
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NPI Number | 1982581591
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Entity Type | Individual
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Provider Name | CODY ALCOTT CPO, LPO
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Gender | Male
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 11809 DOMAIN DR UNIT 100
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City | AUSTIN
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State | TX
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Zip | 78758-3452
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Country | US
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Telephone | 737-707-0058
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Fax | 737-707-0059
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Provider Business Mailing Address
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Address Line | 11809 DOMAIN DR UNIT 100
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City | AUSTIN
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State | TX
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Zip | 78758-3452
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Country | US
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Telephone | 737-707-0058
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Fax | 737-707-0059
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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 | 222Z00000X
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Taxonomy Name | Orthotist
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License Number | 2425
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | 2425
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License Number State | TX
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