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General NPI Number Information
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NPI Number | 1801451927
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Entity Type | Individual
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Provider Name | ALYSSA PAIGE COOK MA, LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/03/2019
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | 30211 AVENIDA DE LAS BANDERA STE 200
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-2159
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Country | US
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Telephone | 949-838-4804
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Fax |
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Provider Business Mailing Address
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Address Line | 22431 ANTONIO PKWY # B160-198
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-2804
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Country | US
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Telephone | 949-838-4804
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | AMFT111936
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LAMFT-8456
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 145095
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License Number State | CA
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