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General NPI Number Information
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NPI Number | 1962454264
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Entity Type | Individual
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Provider Name | YURI EAST COOK M.D., FAAP
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Gender | Male
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 1111 RAINTREE CIR STE 240
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City | ALLEN
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State | TX
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Zip | 75013-4902
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Country | US
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Telephone | 214-644-0280
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Fax | 214-644-0294
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Provider Business Mailing Address
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Address Line | 1111 RAINTREE CIR STE 240
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City | ALLEN
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State | TX
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Zip | 75013-4902
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Country | US
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Telephone | 214-644-0280
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Fax | 214-644-0294
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | K4667
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License Number State | TX
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