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General NPI Number Information
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NPI Number | 1629058425
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Entity Type | Individual
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Provider Name | DAVID THOMAS COOK MD
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Gender | Male
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 10/20/2020
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Provider Practice Location Address
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Address Line | 2095 HENRY TECKLENBURG DRIVE ROPER SAINT FRANCIS HOSPITAL
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City | CHARLESTON
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State | SC
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Zip | 29414
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Country | US
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Telephone | 843-402-1037
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Fax |
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Provider Business Mailing Address
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Address Line | 2095 HENRY TECKLENBURG DRIVE
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City | CHARLESTON
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State | SC
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Zip | 29414
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Country | US
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Telephone | 843-402-1037
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 33730
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License Number State | SC
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