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General NPI Number Information
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NPI Number | 1902873904
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Entity Type | Individual
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Provider Name | CHERYL R BROWN-COOK DPM
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Gender | Female
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 1520 CARLEMONT DR STE M
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City | CRYSTAL LAKE
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State | IL
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Zip | 60014-1836
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Country | US
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Telephone | 815-356-5060
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Fax | 815-356-7898
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Provider Business Mailing Address
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Address Line | 1520 CARLEMONT DR STE M
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City | CRYSTAL LAKE
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State | IL
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Zip | 60014-1836
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Country | US
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Telephone | 815-356-5060
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Fax | 815-356-7898
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 016-004864
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License Number State | IL
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