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NPI 1790020998

NPI 1790020998 : LAUREN ANNE-MARIE COOK MA, CF-SLP : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1790020998
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    Entity Type          |    Individual 
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    Provider Name        |    LAUREN ANNE-MARIE COOK MA, CF-SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/29/2012
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    Last Update Date     |    11/29/2012
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Provider Practice Location Address
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    Address Line         |    5000 W SUNSET BLVD STE 510 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90027-5864
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    Country              |    US
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    Telephone            |    323-644-9380
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1151 SONORA AVE APT 201 
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    City                 |    GLENDALE
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    State                |    CA
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    Zip                  |    91201-3106
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    Country              |    US
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    Telephone            |    321-698-6142
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    8048
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    License Number State |    CA
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