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NPI 1427148139

NPI 1427148139 : AFRICA COOK PT : TULSA, OK

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General NPI Number Information
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    NPI Number           |    1427148139
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    Entity Type          |    Individual 
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    Provider Name        |    AFRICA COOK PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/13/2006
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    Last Update Date     |    03/05/2019
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Provider Practice Location Address
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    Address Line         |    10820 E 45TH ST STE 101 
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74146-3803
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    Country              |    US
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    Telephone            |    918-274-7902
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    30 GLENN ST # 402 
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    City                 |    WHITE PLAINS
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    State                |    NY
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    Zip                  |    10603-3254
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    Country              |    US
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    Telephone            |    954-848-3834
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    008826
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    35847
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    8258
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    License Number State |    TN
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Taxonomy #4
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    5535
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    License Number State |    OK
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