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General NPI Number Information
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NPI Number | 1851901136
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Entity Type | Individual
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Provider Name | KELLY FRANCES COOK PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/03/2020
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 7301 FOREST AVE STE 200
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City | RICHMOND
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State | VA
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Zip | 23226-3792
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Country | US
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Telephone | 804-207-6737
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Fax |
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Provider Business Mailing Address
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Address Line | 7301 FOREST AVE STE 200
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City | RICHMOND
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State | VA
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Zip | 23226-3792
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Country | US
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Telephone | 804-207-6737
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN.459540
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 0001315736
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0027507
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License Number State | OH
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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 | 0024185821
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License Number State | VA
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