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General NPI Number Information
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NPI Number | 1013208107
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Entity Type | Individual
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Provider Name | KIMBERLEY ANN BASSI-COOK M.ED., L.P.C., N.C.C
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Gender | Female
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Dates
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Enumeration Date | 04/25/2011
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Last Update Date | 04/25/2011
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Provider Practice Location Address
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Address Line | 1 SETON HILL DR
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City | GREENSBURG
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State | PA
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Zip | 15601-1548
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Country | US
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Telephone | 724-771-7391
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Fax |
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Provider Business Mailing Address
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Address Line | 169 HEIMANN RD
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City | LATROBE
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State | PA
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Zip | 15650-4097
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Country | US
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Telephone | 724-771-7391
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC005356
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License Number State | PA
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