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General NPI Number Information
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NPI Number | 1497717987
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Entity Type | Individual
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Provider Name | DAVID O COOK MD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 03/18/2021
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Provider Practice Location Address
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Address Line | 401 MULBERRY ST SW STE 210
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City | LENOIR
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State | NC
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Zip | 28645-5463
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Country | US
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Telephone | 828-757-6431
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Fax | 828-757-6432
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Provider Business Mailing Address
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Address Line | 1139 CARTHAGE ST STE 110-B
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City | SANFORD
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State | NC
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Zip | 27330-4111
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Country | US
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Telephone | 919-775-7232
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Fax | 919-775-1731
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 29247
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License Number State | NC
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