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General NPI Number Information
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NPI Number | 1649150277
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Entity Type | Individual
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Provider Name | EILEEN COOK CSW
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Gender | Female
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 1002 S VIRGINIA ST STE 401
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City | HOPKINSVILLE
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State | KY
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Zip | 42240-3507
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Country | US
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Telephone | 859-447-0855
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Fax | 859-479-1090
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Provider Business Mailing Address
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Address Line | 3147 CUSTER DR
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City | LEXINGTON
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State | KY
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Zip | 40517-4020
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Country | US
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Telephone | 859-447-0855
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Fax | 859-479-1090
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 00001028
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License Number State | KY
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