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General NPI Number Information
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NPI Number | 1841233970
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Entity Type | Organization
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Legal Business Name | COOK MANAGEMENT SERVICES INC
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 07/02/2015
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Provider Practice Location Address
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Address Line | 300 INDUSTRIAL BLVD
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City | DUBLIN
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State | GA
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Zip | 31021-2800
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Country | US
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Telephone | 478-272-7437
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Fax | 478-272-2427
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Provider Business Mailing Address
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Address Line | PO BOX 1243
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City | DUBLIN
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State | GA
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Zip | 31040-1243
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Country | US
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Telephone | 478-272-7437
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Fax | 478-272-2427
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Authorized Official
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Title or Position | COO
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Name | TERRELL B COOK JR.
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Credential |
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Telephone | 229-868-7406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 1-087-1943
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License Number State | GA
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