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General NPI Number Information
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NPI Number | 1346215837
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Entity Type | Individual
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Provider Name | NANETTE NICOLE COOK MD
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Gender | Female
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Dates
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Enumeration Date | 02/20/2006
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Last Update Date | 12/08/2021
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Provider Practice Location Address
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Address Line | 3692 HIGHLANDS PKWY SE
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City | SMYRNA
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State | GA
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Zip | 30082-5184
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Country | US
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Telephone | 770-431-2322
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Fax | 770-431-2321
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Provider Business Mailing Address
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Address Line | 3692 HIGHLANDS PKWY SE
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City | SMYRNA
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State | GA
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Zip | 30082-5184
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Country | US
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Telephone | 770-431-2322
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Fax | 770-431-2321
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 049139
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License Number State | GA
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