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General NPI Number Information
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NPI Number | 1922154566
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Entity Type | Individual
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Provider Name | THOMAS J COOKE MA, OTR-L
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Gender | Male
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 44 MEADOW WAY
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City | EAST HAMPTON
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State | NY
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Zip | 11937-3214
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Country | US
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Telephone | 631-324-3229
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Fax |
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Provider Business Mailing Address
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Address Line | 58 TYLER AVE
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City | WEST SAYVILLE
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State | NY
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Zip | 11796-1710
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Country | US
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Telephone | 631-244-6925
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 011316-1
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License Number State | NY
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