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General NPI Number Information
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NPI Number | 1285416651
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Entity Type | Individual
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Provider Name | TONY L COOK LSW
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Gender | Male
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Dates
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Enumeration Date | 10/19/2023
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 11590 CENTURY BLVD STE 116
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City | CINCINNATI
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State | OH
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Zip | 45246-3317
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Country | US
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Telephone | 513-771-7239
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Fax | 513-771-3878
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Provider Business Mailing Address
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Address Line | 10100 ELIDA RD
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City | DELPHOS
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State | OH
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Zip | 45833-9056
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Country | US
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Telephone | 419-695-8010
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Fax | 419-932-6232
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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