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General NPI Number Information
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NPI Number | 1912042805
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Entity Type | Organization
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Legal Business Name | ALLAN O COOK MD PA
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/29/2018
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Provider Practice Location Address
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Address Line | 5900 BERKSHIRE ROAD
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City | MCKINNEY
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State | TX
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Zip | 75072
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Country | US
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Telephone | 972-487-7057
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Fax | 972-272-4256
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Provider Business Mailing Address
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Address Line | 777 WALTER REED BLVD MEDICAL PLAZA II, SUITE # B10
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City | GARLAND
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State | TX
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Zip | 75042-5727
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Country | US
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Telephone | 972-487-7057
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Fax | 972-272-4256
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Authorized Official
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Title or Position | CARDIOTHORACIC AND VASCULAR SURGEON
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Name | DR. ALLAN O COOK JR.
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Credential | MD PA
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Telephone | 972-487-7057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | F9322
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License Number State | TX
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