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General NPI Number Information
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NPI Number | 1689853863
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Entity Type | Organization
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Legal Business Name | MARSHALL L COOK, MD
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 9522 E SAN SALVADOR DR STE 202
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5559
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Country | US
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Telephone | 480-767-3951
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Fax | 480-767-3952
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Provider Business Mailing Address
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Address Line | 9522 E SAN SALVADOR DR STE 202
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5559
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Country | US
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Telephone | 480-767-3951
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Fax | 480-767-3952
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARSHALL LEWIS COOK
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Credential | MD
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Telephone | 480-767-3951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 19360
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License Number State | AZ
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