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General NPI Number Information
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NPI Number | 1225237217
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Entity Type | Organization
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Legal Business Name | ROBERT D COOK, M.D. PA
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 04/29/2014
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Provider Practice Location Address
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Address Line | 4150 N LAMAR BLVD
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City | AUSTIN
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State | TX
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Zip | 78756-3716
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Country | US
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Telephone | 512-467-0978
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Fax | 512-467-8066
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Provider Business Mailing Address
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Address Line | 4150 N LAMAR BLVD
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City | AUSTIN
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State | TX
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Zip | 78756-3716
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Country | US
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Telephone | 512-467-0978
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Fax | 512-467-8066
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. CHERYL FREDA COOK
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Credential |
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Telephone | 512-467-0978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | E8402
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License Number State | TX
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