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General NPI Number Information
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NPI Number | 1215176508
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Entity Type | Individual
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Provider Name | CHARLTON COOK PH.D., N.D.
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Gender | Male
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Dates
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Enumeration Date | 02/11/2009
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Last Update Date | 02/17/2010
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Provider Practice Location Address
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Address Line | 8890 TERRENE CT 103
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-9532
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Country | US
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Telephone | 239-777-3466
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Fax | 877-409-2718
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Provider Business Mailing Address
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Address Line | PO BOX 95
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City | MILLERSVILLE
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State | MD
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Zip | 21108-0095
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Country | US
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Telephone | 888-372-2254
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Fax | 877-409-2718
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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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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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Taxonomy #3
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Taxonomy Code | 175L00000X
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Taxonomy Name | Homeopath
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Taxonomy #4
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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Taxonomy #5
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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Taxonomy #6
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Taxonomy Code | 1744R1102X
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Taxonomy Name | Research Study Specialist
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