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General NPI Number Information
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NPI Number | 1508946153
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Entity Type | Individual
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Provider Name | ANGUS M CROOK MD
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Gender | Male
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | 210 23RD AVE N SUITE 302
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City | NASHVILLE
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State | TN
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Zip | 37203-1580
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Country | US
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Telephone | 615-329-4001
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Fax | 615-329-3858
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Provider Business Mailing Address
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Address Line | 407 LEAKE AVE
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City | NASHVILLE
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State | TN
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Zip | 37205-3731
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Country | US
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Telephone | 615-352-3846
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Fax |
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MD0000001862
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License Number State | TN
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