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General NPI Number Information
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NPI Number | 1891013249
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Entity Type | Organization
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Legal Business Name | JEANNIE COOK PC
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Dates
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Enumeration Date | 05/10/2010
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Last Update Date | 04/21/2022
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Provider Practice Location Address
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Address Line | 5700 TENNYSON PKWY STE 300
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City | PLANO
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State | TX
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Zip | 75024-3595
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Country | US
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Telephone | 214-649-6932
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Fax | 214-387-1220
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Provider Business Mailing Address
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Address Line | 5700 TENNYSON PKWY STE 300
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City | PLANO
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State | TX
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Zip | 75024-3595
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Country | US
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Telephone | 214-649-6932
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. RHEA JEAN COOK
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Credential | FNP
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Telephone | 214-649-6932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 588731
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License Number State | TX
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