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General NPI Number Information
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NPI Number | 1487749271
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Entity Type | Individual
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Provider Name | MATTHEW R COOKE DDS, MD, MPH
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 3501 TERRACE STREET SUITE 3189
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City | PITTSBURGH
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State | PA
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Zip | 15261
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Country | US
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Telephone | 412-648-9100
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Fax | 412-383-7862
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Provider Business Mailing Address
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Address Line | PO BOX 100426
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City | GAINESVILLE
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State | FL
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Zip | 32610-0426
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Country | US
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Telephone | 352-273-7638
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Fax | 352-273-6765
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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 | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number | DS038622
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 0401410191
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DS038622
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License Number State | PA
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