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General NPI Number Information
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NPI Number | 1285508853
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Entity Type | Individual
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Provider Name | TERRI COOK-PALACIOS
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Gender |
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 1420 E ROSEVILLE PKWY 140-149
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City | ROSEVILLE
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State | CA
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Zip | 95661-3078
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Country | US
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Telephone | 916-280-4859
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Fax |
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Provider Business Mailing Address
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Address Line | 1420 E ROSEVILLE PKWY 140-149
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City | ROSEVILLE
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State | CA
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Zip | 95661-3078
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Country | US
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Telephone |
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 896308
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License Number State | TX
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