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General NPI Number Information
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NPI Number | 1265786495
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Entity Type | Organization
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Legal Business Name | PAUL M COOKE MD PC
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Dates
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Enumeration Date | 11/09/2012
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Last Update Date | 12/31/2012
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Provider Practice Location Address
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Address Line | 429 E 75TH ST
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City | NEW YORK
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State | NY
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Zip | 10021-3102
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Country | US
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Telephone | 609-249-2960
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Fax | 609-896-9582
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Provider Business Mailing Address
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Address Line | 389 WALL ST
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City | PRINCETON
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State | NJ
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Zip | 08540-1516
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Country | US
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Telephone | 609-249-2960
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Fax | 609-896-9582
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL COOKE
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Credential | MD
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Telephone | 609-249-2960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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