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Individual
DR. DEBORAH LYNN COOK
Active
Individual
DR. DEBORAH LYNN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
36003231
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36003231
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2246555
—
OH
01
—
4190543
MEDICARE PTAN, INDIVIDUAL
OH
01
—
9384851
MEDICARE PTAN, GROUP
OH
Enumeration date
08/19/2006
Last updated
08/30/2011
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