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General NPI Number Information
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NPI Number | 1881036887
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Entity Type | Organization
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Legal Business Name | AARON M. COOK DMD PC
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Dates
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Enumeration Date | 07/19/2013
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Last Update Date | 07/19/2013
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Provider Practice Location Address
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Address Line | 2114 10TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35205-2727
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Country | US
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Telephone | 205-326-6384
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Fax |
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Provider Business Mailing Address
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Address Line | 2114 10TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35205-2727
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Country | US
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Telephone | 205-326-6384
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AARON MATTHEW COOK
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Credential | DMD
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Telephone | 205-326-6384
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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 | 5397
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License Number State | AL
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