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General NPI Number Information
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NPI Number | 1548008139
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Entity Type | Individual
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Provider Name | PATRYCJA COOKSON
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Gender | Female
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Dates
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Enumeration Date | 07/17/2024
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 780 LYNNHAVEN PKWY STE 340
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-7361
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Country | US
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Telephone | 612-844-9128
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Fax | 301-757-8803
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Provider Business Mailing Address
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Address Line | 1419 LAFAYETTE BLVD
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City | NORFOLK
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State | VA
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Zip | 23509-1035
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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