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NPI 1942323159

NPI 1942323159 : KAREN MARIE COOK MSW : ROSENBERG, TX

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General NPI Number Information
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    NPI Number           |    1942323159
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    Entity Type          |    Individual 
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    Provider Name        |    KAREN MARIE COOK MSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/10/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1100 MACARTHUR ST 
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    City                 |    ROSENBERG
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    State                |    TX
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    Zip                  |    77471-3640
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    Country              |    US
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    Telephone            |    281-342-3500
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    Fax                  |    832-778-1642
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Provider Business Mailing Address
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    Address Line         |    PO BOX 130831 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77219-0831
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    Country              |    US
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    Telephone            |    832-778-1642
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    Fax                  |    832-778-1642
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    09392
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    License Number State |    TX
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