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General NPI Number Information
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NPI Number | 1962338319
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Entity Type | Individual
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Provider Name | JOSHUA SHANE COOKE FNP-C
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Gender | Male
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 88 HOSPITAL DR
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City | SPRUCE PINE
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State | NC
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Zip | 28777-8943
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Country | US
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Telephone | 828-765-6101
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Fax |
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Provider Business Mailing Address
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Address Line | 427 GAGE BRANCH RD
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City | BAKERSVILLE
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State | NC
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Zip | 28705-8105
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Country | US
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Telephone | 828-467-1373
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5024726
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License Number State | NC
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