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General NPI Number Information
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NPI Number | 1144764184
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Entity Type | Organization
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Legal Business Name | MIDLAND HAND CLINIC PLLC
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Dates
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Enumeration Date | 12/09/2016
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Last Update Date | 12/09/2016
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Provider Practice Location Address
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Address Line | 701 TRADEWINDS BLVD STE B
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City | MIDLAND
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State | TX
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Zip | 79706-3148
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Country | US
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Telephone | 432-618-6772
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Fax | 432-618-6775
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Provider Business Mailing Address
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Address Line | 701 TRADEWINDS BLVD STE B
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City | MIDLAND
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State | TX
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Zip | 79706-3148
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Country | US
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Telephone | 432-618-6772
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Fax | 432-618-6775
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Authorized Official
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Title or Position | SURGEON
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Name | DR. THOMAS KEVIN COOK
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Credential | M.D.
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Telephone | 432-618-6772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number |
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License Number State |
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