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General NPI Number Information
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NPI Number | 1992690663
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Entity Type | Individual
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Provider Name | CODY FITZPATRICK DMD
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Gender | Male
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 313 W BOOT RD
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City | WEST CHESTER
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State | PA
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Zip | 19380-1109
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Country | US
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Telephone | 610-701-0102
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Fax |
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Provider Business Mailing Address
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Address Line | 692 MUELLER RD
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City | WARMINSTER
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State | PA
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Zip | 18974-2751
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Country | US
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Telephone | 215-840-3621
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS045126
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License Number State | PA
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