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General NPI Number Information
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NPI Number | 1932206976
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Entity Type | Individual
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Provider Name | JANE CATHERINE COOK D.O.
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 501 6TH ST S
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4630
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Country | US
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Telephone | 727-767-3318
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Fax | 727-767-8002
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Provider Business Mailing Address
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Address Line | 501 6TH ST S
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4630
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Country | US
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Telephone | 727-767-3318
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Fax | 727-767-8002
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | E-5777
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | OS10449
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | 5101014579
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | 34.008683
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | E-5777
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License Number State | AR
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