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General NPI Number Information
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NPI Number | 1568287738
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Entity Type | Individual
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Provider Name | NIA MARIE COOK SA-C
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Gender | Female
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 1719 E 19TH AVE
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City | DENVER
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State | CO
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Zip | 80218-1281
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Country | US
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Telephone | 720-754-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 5228 E 118TH PL
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City | THORNTON
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State | CO
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Zip | 80233-6417
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Country | US
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Telephone | 303-808-0686
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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