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Individual
ANDREW COOK
Active
Individual
ANDREW COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2764
NE
363AS0400X
Surgical Physician Assistant
PENDING
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10027131701
—
NE
05
—
47081304012
—
NE
Enumeration date
05/09/2022
Last updated
03/01/2023
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