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NPI 1528325313

NPI 1528325313 : MS. ALLYSON CLAIRE COOK : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1528325313
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    Entity Type          |    Individual 
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    Provider Name        |    MS. ALLYSON CLAIRE COOK
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/18/2012
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    Last Update Date     |    08/26/2019
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Provider Practice Location Address
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    Address Line         |    5201 HARRY HINES BLVD GRADUATE MEDICAL EDUCATION
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75235-7708
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    Country              |    US
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    Telephone            |    214-590-8058
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3333 CALIFORNIA ST. S1-10
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94143
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    Country              |    US
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    Telephone            |    415-885-7268
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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        |    207RH0002X
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    Taxonomy Name        |    Hospice and Palliative Medicine (Internal Medicine) Physician
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    License Number       |    A148353
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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