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General NPI Number Information
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NPI Number | 1891309043
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Entity Type | Individual
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Provider Name | MRS. PAULA COOK
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Gender | Female
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Dates
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Enumeration Date | 09/04/2020
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Last Update Date | 09/04/2020
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Provider Practice Location Address
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Address Line | 14391 SPRING HILL DR SUITE #523
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City | SPRING HILL
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State | FL
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Zip | 34609-8199
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Country | US
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Telephone | 813-503-3386
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Fax | 727-388-0195
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Provider Business Mailing Address
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Address Line | 12416 PEPPERFIELD DR
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City | TAMPA
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State | FL
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Zip | 33624-5721
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Country | US
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Telephone | 517-775-6736
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SZ9759
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License Number State | FL
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