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General NPI Number Information
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NPI Number | 1588616148
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Entity Type | Individual
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Provider Name | CHARLES H. COOK MD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 110 FRANCIS ST STE 2G
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City | BOSTON
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State | MA
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Zip | 02215-5501
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Country | US
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Telephone | 617-632-9770
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Fax | 617-632-0886
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Provider Business Mailing Address
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Address Line | 110 FRANCIS ST STE 2G
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City | BOSTON
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State | MA
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Zip | 02215-5501
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Country | US
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Telephone | 617-632-9770
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Fax | 617-632-0886
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35064289
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 35064289
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 258054
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 258054
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License Number State | MA
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 258054
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License Number State | MA
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