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General NPI Number Information
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NPI Number | 1225360399
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Entity Type | Organization
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Legal Business Name | SKIN SPECIALTY DERMATOLOGY - FRAN E. COOK-BOLDEN M.D., P.C.
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Dates
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Enumeration Date | 02/01/2010
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Last Update Date | 05/10/2010
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Provider Practice Location Address
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Address Line | 150 E 58TH ST 3RD FLOOR ANNEX
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City | NEW YORK
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State | NY
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Zip | 10155-0002
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Country | US
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Telephone | 212-223-6599
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Fax | 212-223-6698
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Provider Business Mailing Address
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Address Line | 150 EAST 58TH STREET 3RD FLOOR ANNEX
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City | NEW YORK
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State | NY
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Zip | 10155
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Country | US
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Telephone | 212-223-6599
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Fax | 212-223-6698
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Authorized Official
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Title or Position | OWNER
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Name | MRS. FRAN COOK-BOLDEN
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Credential | MD
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Telephone | 212-223-6599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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