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General NPI Number Information
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NPI Number | 1235208661
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Entity Type | Individual
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Provider Name | GARY SCOTT COOLS ND
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Gender | Male
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 11/19/2012
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Provider Practice Location Address
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Address Line | 414 W US HIGHWAY 10 31
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City | SCOTTVILLE
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State | MI
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Zip | 49454-9274
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Country | US
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Telephone | 231-845-1250
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Fax | 231-845-1250
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Provider Business Mailing Address
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Address Line | PO BOX 665
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City | LUDINGTON
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State | MI
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Zip | 49431-0665
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Country | US
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Telephone | 231-845-1250
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Fax | 231-845-1250
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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