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General NPI Number Information
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NPI Number | 1871417626
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Entity Type | Individual
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Provider Name | ALEXIS COOK
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Gender | Female
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 103 HARTH PL UNIT B
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City | SUMMERVILLE
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State | SC
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Zip | 29485-8107
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Country | US
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Telephone | 843-879-3520
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Fax |
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Provider Business Mailing Address
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Address Line | 6211 WARBURTON RD
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City | SUMMERVILLE
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State | SC
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Zip | 29486-8526
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Country | US
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Telephone | 631-599-6974
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 10912
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License Number State | SC
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