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General NPI Number Information
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NPI Number | 1588488472
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Entity Type | Individual
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Provider Name | JESSE COOK RDN, LDN
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Gender | Male
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Dates
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Enumeration Date | 11/08/2024
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 3 ROBINSON PLZ # 205
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City | PITTSBURGH
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State | PA
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Zip | 15205-1024
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Country | US
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Telephone | 412-593-2048
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Fax | 844-311-7396
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Provider Business Mailing Address
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Address Line | 5750 BAUM BLVD STE 306
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City | PITTSBURGH
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State | PA
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Zip | 15206-3793
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Country | US
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Telephone | 412-726-5607
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Fax | 844-311-7396
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DN008804
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License Number State | PA
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