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General NPI Number Information
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NPI Number | 1699748533
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Entity Type | Organization
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Legal Business Name | COOK AREA HEALTH SERVICES, INC
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 810 POPLAR ST
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City | FLOODWOOD
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State | MN
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Zip | 55736-4002
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Country | US
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Telephone | 218-476-2969
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Fax | 218-476-1599
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Provider Business Mailing Address
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Address Line | 20 5TH ST SE
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City | COOK
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State | MN
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Zip | 55723-9702
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Country | US
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Telephone | 218-666-5941
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KEITH D HARVEY
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Credential |
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Telephone | 218-361-3135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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