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General NPI Number Information
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NPI Number | 1306335344
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Entity Type | Individual
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Provider Name | BRANDON ARTHUR COOK PA-C
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Gender | Male
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Dates
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Enumeration Date | 05/04/2018
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 21202 OWENS RD STE 300
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City | MOKENA
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State | IL
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Zip | 60448-2038
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Country | US
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Telephone | 779-334-0100
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Fax | 779-334-0051
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Provider Business Mailing Address
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Address Line | 21202 OWENS RD STE 300
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City | MOKENA
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State | IL
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Zip | 60448-2038
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Country | US
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Telephone | 779-334-0100
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Fax | 779-334-0051
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 096.005183
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License Number State | IL
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085010293
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License Number State | IL
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