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General NPI Number Information
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NPI Number | 1699639419
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Entity Type | Individual
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Provider Name | CASEY LEE COOK NP
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Gender | Female
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 3535 VICTORY GROUP WAY STE 305
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City | FRISCO
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State | TX
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Zip | 75034-6722
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Country | US
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Telephone | 972-324-3480
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Fax |
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Provider Business Mailing Address
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Address Line | 2305 WILLOWOOD LN
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City | FLOWER MOUND
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State | TX
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Zip | 75028-4586
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Country | US
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Telephone | 407-718-9286
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 1217876
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License Number State | TX
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