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General NPI Number Information
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NPI Number | 1457027823
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Entity Type | Individual
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Provider Name | JANELLE KATHRYN COOK LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/17/2021
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 527 GOTT RD # 810
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City | ENID
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State | OK
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Zip | 73705-5103
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Country | US
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Telephone | 580-213-5172
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Fax |
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Provider Business Mailing Address
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Address Line | 1704 CALICO LN
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City | ENID
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State | OK
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Zip | 73703-1691
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Country | US
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Telephone | 816-868-9129
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904016722
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License Number State | VA
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