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General NPI Number Information
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NPI Number | 1578492542
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Entity Type | Individual
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Provider Name | SHELBY COOKE
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Gender | Female
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 9500 RAY WHITE RD STE 200
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City | FORT WORTH
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State | TX
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Zip | 76244-9105
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Country | US
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Telephone | 972-548-2163
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Fax |
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Provider Business Mailing Address
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Address Line | 4912 GASTON AVE APT F
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City | DALLAS
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State | TX
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Zip | 75214-5263
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1408252
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License Number State | TX
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