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General NPI Number Information
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NPI Number | 1861385221
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Entity Type | Individual
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Provider Name | HAYDEN TODD COOK DDS
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Gender | Male
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 238 E STATE RD STE 2
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-3621
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Country | US
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Telephone | 801-796-7779
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Fax |
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Provider Business Mailing Address
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Address Line | 100 S GENEVA RD UNIT E203
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City | VINEYARD
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State | UT
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Zip | 84059-5446
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Country | US
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Telephone | 970-570-9360
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 14216371-9926
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License Number State | UT
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