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General NPI Number Information
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NPI Number | 1659381523
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Entity Type | Organization
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Legal Business Name | DR COOK REEDER & ASSOCS
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 12/03/2008
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Provider Practice Location Address
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Address Line | 9320 CARMEL MOUNTAIN ROAD SUITE E
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City | SAN DIEGO
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State | CA
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Zip | 92129-2159
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Country | US
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Telephone | 858-484-1500
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Fax | 858-484-9143
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Provider Business Mailing Address
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Address Line | 9320 CARMEL MOUNTAIN ROAD SUITE E
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City | SAN DIEGO
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State | CA
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Zip | 92129-2159
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Country | US
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Telephone | 858-484-1500
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Fax | 858-484-9143
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Authorized Official
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Title or Position | CFO OWNER
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Name | JOEL LAIR COOK
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Credential | OD
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Telephone | 858-484-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OP6425T
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License Number State | CA
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