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General NPI Number Information
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NPI Number | 1134437098
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Entity Type | Individual
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Provider Name | MISTY G COOK ACNP
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Gender | Female
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1724 KENTON ST STE 2B
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City | HOPKINSVILLE
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State | KY
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Zip | 42240-1981
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Country | US
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Telephone | 270-632-4555
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Fax |
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Provider Business Mailing Address
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Address Line | 900 HOSPITAL DR
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City | MADISONVILLE
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State | KY
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Zip | 42431-1644
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Country | US
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Telephone | 270-825-5100
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 6628P
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 3006628
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License Number State | KY
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