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NPI 1437257664

NPI 1437257664 : JAY C COOK DC : MONTEREY, CA

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General NPI Number Information
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    NPI Number           |    1437257664
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    Entity Type          |    Individual 
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    Provider Name        |    JAY C COOK DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/20/2006
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    Last Update Date     |    11/29/2023
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Provider Practice Location Address
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    Address Line         |    SUITE 202 2600 GARDEN ROAD
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    City                 |    MONTEREY
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    State                |    CA
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    Zip                  |    93940
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    Country              |    US
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    Telephone            |    831-375-5117
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    Fax                  |    831-375-3361
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Provider Business Mailing Address
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    Address Line         |    SUITE 202 2600 GARDEN ROAD
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    City                 |    MONTEREY
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    State                |    CA
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    Zip                  |    93940
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    Country              |    US
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    Telephone            |    831-375-5117
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    Fax                  |    831-375-3361
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    183666
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    License Number State |    CA
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