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General NPI Number Information
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NPI Number | 1518924216
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Entity Type | Individual
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Provider Name | RICHARD J COOKE MD
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Gender | Male
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 08/31/2007
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Provider Practice Location Address
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Address Line | 2516 STOCKTON BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95817-2208
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Country | US
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Telephone | 916-734-2426
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Fax | 530-752-6215
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Provider Business Mailing Address
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Address Line | 2516 STOCKTON BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95817-2208
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Country | US
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Telephone | 916-734-2426
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Fax | 530-752-6215
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 13198
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License Number State | TN
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