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General NPI Number Information
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NPI Number | 1659671857
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Entity Type | Organization
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Legal Business Name | YVONNE FLOOD-COOK
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Dates
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Enumeration Date | 10/22/2010
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Last Update Date | 10/22/2010
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Provider Practice Location Address
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Address Line | 3707 BRIDLE PATH LN
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City | SUFFOLK
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State | VA
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Zip | 23435-3201
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Country | US
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Telephone | 757-653-4811
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Fax | 757-394-1259
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Provider Business Mailing Address
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Address Line | 3707 BRIDLE PATH LN
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City | SUFFOLK
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State | VA
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Zip | 23435-3201
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Country | US
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Telephone | 757-653-4811
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Fax | 757-394-1259
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Authorized Official
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Title or Position | PROGRAM MANAGER
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Name | MS. YVONNE FLOOD-COOK
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Credential |
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Telephone | 757-653-4811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 110103011
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License Number State | VA
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