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General NPI Number Information
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NPI Number | 1871705236
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Entity Type | Individual
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Provider Name | MONICA C. COOK APRN
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Gender | Female
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Dates
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Enumeration Date | 05/05/2007
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Last Update Date | 04/27/2025
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Provider Practice Location Address
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Address Line | PO BOX 146
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City | WASHINGTON
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State | UT
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Zip | 84780-0146
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Country | US
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Telephone | 801-209-2573
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Fax |
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Provider Business Mailing Address
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Address Line | 2050 S BLOSSER RD
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City | SANTA MARIA
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State | CA
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Zip | 93458-7310
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Country | US
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Telephone | 805-361-8030
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Fax | 805-361-8097
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 379690-4405
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 379690-4405
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | TPAN2436
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95005529
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License Number State | CA
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