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General NPI Number Information
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NPI Number | 1285006635
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Entity Type | Individual
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Provider Name | JUSTIN LINK COX P.A.
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Gender | Male
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Dates
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Enumeration Date | 10/26/2015
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Last Update Date | 03/21/2016
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Provider Practice Location Address
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Address Line | 203 N CEDAR AVE
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City | COOKEVILLE
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State | TN
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Zip | 38501-2498
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Country | US
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Telephone | 931-528-1992
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Fax | 931-526-3694
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Provider Business Mailing Address
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Address Line | 203 N CEDAR AVE
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City | COOKEVILLE
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State | TN
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Zip | 38501-2498
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Country | US
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Telephone | 931-528-1992
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Fax | 931-526-3694
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 2865
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2865
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License Number State | TN
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