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General NPI Number Information
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NPI Number | 1225859465
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Entity Type | Individual
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Provider Name | TRINA N MILFORD COOK CHW
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Gender | Female
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 2000 CRAWFORD ST STE 1639
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City | HOUSTON
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State | TX
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Zip | 77002-1367
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Country | US
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Telephone | 832-562-8164
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Fax |
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Provider Business Mailing Address
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Address Line | 21210 SPRINGBROOK HOLLOW CT
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City | KLEIN
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State | TX
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Zip | 77379-1941
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Country | US
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Telephone | 832-562-8164
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 10475
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License Number State | TX
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