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General NPI Number Information
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NPI Number | 1316797590
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Entity Type | Individual
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Provider Name | STEPHANIE COOK RDMS, RVT
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Gender | Female
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Dates
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Enumeration Date | 03/22/2024
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 903 NW 13TH STREET
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City | OKLAHOME CITY
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State | OK
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Zip | 73106
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Country | US
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Telephone | 405-296-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 45303 HIGHWAY 3
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City | SHAWNEE
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State | OK
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Zip | 74801
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Country | US
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Telephone | 360-201-6222
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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 | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | 168043
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License Number State | OK
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