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General NPI Number Information
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NPI Number | 1487992541
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Entity Type | Organization
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Legal Business Name | ELIZABETH E. VENTURA-COOK, PHD, PLLC
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Dates
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Enumeration Date | 01/24/2013
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Last Update Date | 01/24/2013
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Provider Practice Location Address
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Address Line | 9414 E SAN SALVADOR DR SUITE 228
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5527
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Country | US
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Telephone | 480-718-5054
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Fax | 480-718-5054
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Provider Business Mailing Address
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Address Line | 9414 E SAN SALVADOR DR SUITE 228
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5527
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Country | US
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Telephone | 480-718-5054
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Fax | 480-718-5054
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH EUGENIO VENTURA-COOK
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Credential |
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Telephone | 480-718-5054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3587
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License Number State | AZ
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