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General NPI Number Information
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NPI Number | 1487636940
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Entity Type | Individual
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Provider Name | LOIS ANNE FREISLEBEN-COOK MD
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Gender | Female
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 11/16/2025
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Provider Practice Location Address
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Address Line | 6155 MARGE CT
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City | EUREKA
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State | CA
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Zip | 95503-6696
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Country | US
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Telephone | 707-397-0431
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Fax | 707-497-6678
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Provider Business Mailing Address
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Address Line | 6155 MARGE CT
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City | EUREKA
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State | CA
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Zip | 95503-6696
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Country | US
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Telephone | 707-397-0431
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Fax | 707-497-6678
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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 | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | 10233
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 10233
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 8215
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License Number State | ND
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | G45968
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | G45968
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | 8215
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License Number State | ND
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