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NPI Code Detail

MEDICARE: DAMIAN D COOK

MEDICARE: DAMIAN D COOK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1043181704
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAMIAN D COOK
Provider Business Mailing Address
First Line : 21 LYNN ST
Second Line :
City : BOB WHITE
State : WV
Zip : 25028-9036
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 21 LYNN ST
Second Line :
City : BOB WHITE
State : WV
Zip : 25028-9036
Country : US
Telephone Number : 304-601-0708
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2025
Last Update Date : 09/16/2025

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Directions to “ DAMIAN D COOK ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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