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General NPI Number Information
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NPI Number | 1073427704
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Entity Type | Individual
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Provider Name | REBECCA LYNNE VIGILANTE COOK MSW, LCSWA
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Gender | Female
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 8212 VILLAGE HARBOR DR FL 2
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City | CORNELIUS
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State | NC
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Zip | 28031-3706
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Country | US
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Telephone | 980-463-8445
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Fax |
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Provider Business Mailing Address
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Address Line | 5728 COLONIAL GARDEN DR
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-1210
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Country | US
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Telephone | 973-214-9845
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P024702
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License Number State | NC
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