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General NPI Number Information
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NPI Number | 1700883204
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Entity Type | Individual
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Provider Name | ELIZABETH A COOK D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 04/09/2018
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Provider Practice Location Address
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Address Line | 168 S HOWELL ST
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City | HILLSDALE
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State | MI
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Zip | 49242-2040
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Country | US
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Telephone | 517-437-4451
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Fax |
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Provider Business Mailing Address
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Address Line | 5455 MOSCOW RD
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City | SPRING ARBOR
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State | MI
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Zip | 49283-9719
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Country | US
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Telephone | 717-634-9200
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Fax |
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 5101014810
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License Number State | MI
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