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General NPI Number Information
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NPI Number | 1285896738
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Entity Type | Individual
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Provider Name | DEBORAH ANNE COOK M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/26/2008
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Last Update Date | 10/09/2013
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Provider Practice Location Address
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Address Line | 225 E JACKSON AVE HOSPITALIST DEPT
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City | JONESBORO
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State | AR
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Zip | 72401-3119
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Country | US
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Telephone | 870-207-1630
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Fax | 870-207-6581
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Provider Business Mailing Address
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Address Line | 4204 JADA CV
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City | JONESBORO
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State | AR
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Zip | 72404-9159
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Country | US
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Telephone | 870-932-1436
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-6353
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | E6353
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | E-6353
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License Number State | AR
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