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General NPI Number Information
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NPI Number | 1770811721
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Entity Type | Individual
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Provider Name | ANDREW COOK PH.D.
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Gender | Male
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Dates
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Enumeration Date | 12/03/2009
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Last Update Date | 02/12/2015
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Provider Practice Location Address
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Address Line | 1901 VETERANS MEMORIAL DR # 116B
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City | TEMPLE
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State | TX
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Zip | 76504-7451
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Country | US
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Telephone | 254-778-4811
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 VETERANS MEMORIAL DR # 116B
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City | TEMPLE
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State | TX
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Zip | 76504-7451
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Country | US
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Telephone |
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 0810002691
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810002691
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 0810002691
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number | 0810002691
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 0810002691
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number | 0810002691
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License Number State | VA
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