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General NPI Number Information
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NPI Number | 1841274370
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Entity Type | Individual
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Provider Name | WILLARD H COOK MD
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Gender | Male
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Dates
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Enumeration Date | 11/29/2005
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 59 AVE AT THE COMMON
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4806
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Country | US
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Telephone | 732-542-7010
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Fax | 732-542-0991
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Provider Business Mailing Address
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Address Line | PO BOX 8519
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City | RED BANK
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State | NJ
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Zip | 07701
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Country | US
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Telephone | 732-460-9840
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Fax | 732-460-9848
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | NJ
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