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General NPI Number Information
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NPI Number | 1699700930
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Entity Type | Individual
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Provider Name | WILLIAM R COOK MD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 10/22/2019
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Provider Practice Location Address
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Address Line | 463 CARLTON ST
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City | WAUCHULA
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State | FL
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Zip | 33873-3400
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Country | US
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Telephone | 863-767-0522
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Fax | 863-767-0572
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Provider Business Mailing Address
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Address Line | 463 CARLTON ST
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City | WAUCHULA
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State | FL
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Zip | 33873-3400
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Country | US
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Telephone | 863-767-0522
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Fax | 863-767-0572
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 01073621
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME62166
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD028628E
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License Number State | PA
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