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General NPI Number Information
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NPI Number | 1043982242
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Entity Type | Individual
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Provider Name | HALEY COOK CAA
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Gender | Female
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Dates
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Enumeration Date | 10/05/2021
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 800 PRUDENTIAL DR
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8202
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Country | US
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Telephone | 904-202-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 12068 BAYONNE ST
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City | JACKSONVILLE
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State | FL
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Zip | 32224-6793
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Country | US
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Telephone | 678-863-1870
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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 | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | AA687
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number |
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License Number State |
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