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General NPI Number Information
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NPI Number | 1669476685
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Entity Type | Individual
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Provider Name | CHERYL LYNN COOK M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/08/2005
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Last Update Date | 02/18/2011
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Provider Practice Location Address
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Address Line | 900 SAINT CHRISTOPHER DRIVE BUILDING 4, SUITE 101
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City | ASHLAND
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State | KY
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Zip | 41101-7032
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Country | US
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Telephone | 606-836-0919
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Fax | 606-836-2847
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Provider Business Mailing Address
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Address Line | 900 SAINT CHRISTOPHER DRIVE BUILDING 4, SUITE 101
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City | ASHLAND
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State | KY
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Zip | 41101-7032
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Country | US
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Telephone | 606-836-0919
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Fax | 606-836-2847
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25781
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License Number State | KY
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