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General NPI Number Information
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NPI Number | 1669778460
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Entity Type | Organization
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Legal Business Name | COOK SPEECH AND LANGUAGE INC
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Dates
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Enumeration Date | 01/27/2011
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 1972 DEL PASO RD SUITE 156
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City | SACRAMENTO
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State | CA
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Zip | 95834-7724
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Country | US
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Telephone | 916-575-8800
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Fax | 916-575-8822
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Provider Business Mailing Address
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Address Line | PO BOX 341160
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City | SACRAMENTO
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State | CA
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Zip | 95834-9060
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Country | US
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Telephone | 916-575-8800
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Fax | 916-575-8822
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Authorized Official
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Title or Position | CEO
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Name | HOLLY M COOK
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Credential | SLP-CCC
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Telephone | 916-575-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP12812
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License Number State | CA
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