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General NPI Number Information
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NPI Number | 1699727214
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Entity Type | Individual
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Provider Name | ANA TATTERSALL-COCKE CNS, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 535 SE WASHINGTON ST
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City | HILLSBORO
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State | OR
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Zip | 97123-4142
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Country | US
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Telephone | 503-755-6703
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Fax | 503-755-6704
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Provider Business Mailing Address
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Address Line | 7330 SAN PEDRO AVE #540
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City | SAN ANTONIO
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State | TX
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Zip | 78216-3901
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Country | US
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Telephone | 210-358-8555
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP109816
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | AP109816
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | AP109816
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10023633
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License Number State | OR
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