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General NPI Number Information
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NPI Number | 1386646875
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Entity Type | Individual
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Provider Name | JULIET COOK CRNP
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Gender | Female
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Dates
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Enumeration Date | 08/15/2005
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 150 E PENNSYLVANIA AVE STE 200
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-2602
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Country | US
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Telephone | 610-280-7960
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Fax | 610-280-7962
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Provider Business Mailing Address
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Address Line | 150 E PENNSYLVANIA AVE STE 200
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-2602
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Country | US
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Telephone | 610-280-7960
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Fax | 610-280-7962
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | TP004921B
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License Number State | PA
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