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Individual
DR. THOMAS S COOKE III
Active
Individual
DR. THOMAS S COOKE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
VA04618
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204677
ANTHEM
VA
05
—
9178540
—
VA
01
—
983528
UNITED CONCORDIA
VA
Enumeration date
11/20/2006
Last updated
07/08/2007
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