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General NPI Number Information
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NPI Number | 1487082855
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Entity Type | Individual
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Provider Name | MR. ALAN A COOK III
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Gender | Male
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Dates
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Enumeration Date | 10/23/2013
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Last Update Date | 12/08/2015
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Provider Practice Location Address
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Address Line | 53 GENESEE ST
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City | AVON
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State | NY
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Zip | 14414-1216
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Country | US
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Telephone | 585-226-3040
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Fax | 732-847-3364
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Provider Business Mailing Address
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Address Line | 117 FRANKLIN ST STE 300
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City | DANSVILLE
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State | NY
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Zip | 14437-1044
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Country | US
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Telephone | 585-335-3040
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Fax | 585-204-5009
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 1017
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 03-0000236
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 14000046412
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License Number State | NY
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