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General NPI Number Information
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NPI Number | 1225710833
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Entity Type | Individual
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Provider Name | ANDREA PATREECE COOK APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/02/2023
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 5060 SHOREHAM PL STE 330
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City | SAN DIEGO
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State | CA
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Zip | 92122-5976
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Country | US
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Telephone | 619-866-0998
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Fax |
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Provider Business Mailing Address
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Address Line | 5060 SHOREHAM PL STE 330
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City | SAN DIEGO
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State | CA
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Zip | 92122-5976
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Country | US
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Telephone | 619-866-0998
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 295300
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 95027465
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License Number State | CA
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