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General NPI Number Information
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NPI Number | 1821301912
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Entity Type | Individual
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Provider Name | INGRID GUAY COOK NP
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Gender | Female
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Dates
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Enumeration Date | 07/19/2010
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Last Update Date | 06/02/2021
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Provider Practice Location Address
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Address Line | 1825 N 18TH ST
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City | MONROE
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State | LA
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Zip | 71201-4420
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Country | US
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Telephone | 318-322-7999
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Fax |
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Provider Business Mailing Address
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Address Line | 1006 HIGHLAND AVE
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City | SHREVEPORT
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State | LA
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Zip | 71101-4103
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Country | US
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Telephone | 318-222-6226
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Fax | 318-524-7252
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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 | AP06191
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APO6191
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License Number State | LA
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