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NPI 1649276858

NPI 1649276858 : SHERI COOK DC : GREEN VALLEY, AZ

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General NPI Number Information
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    NPI Number           |    1649276858
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    Entity Type          |    Individual 
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    Provider Name        |    SHERI COOK DC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/22/2005
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    Last Update Date     |    10/15/2024
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Provider Practice Location Address
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    Address Line         |    175 S LA CANADA DR STE 111 
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    City                 |    GREEN VALLEY
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    State                |    AZ
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    Zip                  |    85614-2600
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    Country              |    US
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    Telephone            |    520-329-3345
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1434 W DE NADA 
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    City                 |    GREEN VALLEY
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    State                |    AZ
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    Zip                  |    85622-3228
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    Country              |    US
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    Telephone            |    612-414-8941
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    998
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    License Number State |    ND
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Taxonomy #2
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    3866
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    License Number State |    MN
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Taxonomy #3
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    8815
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    License Number State |    AZ
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