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General NPI Number Information
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NPI Number | 1942005384
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Entity Type | Individual
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Provider Name | BRANDIANNE COOK PSYD
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Gender | Female
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 5612 S COTTONWOOD DR
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City | BATTLEFIELD
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State | MO
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Zip | 65619-8009
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Country | US
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Telephone | 816-750-2310
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Fax |
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Provider Business Mailing Address
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Address Line | 5612 S COTTONWOOD DR
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City | BATTLEFIELD
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State | MO
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Zip | 65619-8009
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Country | US
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Telephone |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 20043137B
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2024037364
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License Number State | MO
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