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General NPI Number Information
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NPI Number | 1992394761
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Entity Type | Individual
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Provider Name | FELICIA LYNN CODY FNP
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Gender | Female
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Dates
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Enumeration Date | 01/15/2021
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 550 COLT AVE
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City | LEWISTON
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State | NY
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Zip | 14092-2110
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Country | US
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Telephone | 716-523-9709
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Fax |
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Provider Business Mailing Address
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Address Line | 4575 MAIN ST STE 1
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City | AMHERST
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State | NY
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Zip | 14226-4567
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Country | US
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Telephone | 716-633-4575
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Fax | 716-633-4576
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 346852
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License Number State | NY
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