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General NPI Number Information
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NPI Number | 1952558579
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Entity Type | Individual
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Provider Name | STEVEN WAYNE COOK LAC; AADC; CCGC
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Gender | Male
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Dates
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Enumeration Date | 08/26/2008
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Last Update Date | 11/01/2011
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Provider Practice Location Address
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Address Line | 3600 JACKSON ST. EXT. SUITE 128
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City | ALEXANDRIA
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State | LA
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Zip | 71303
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Country | US
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Telephone | 318-448-0082
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Fax | 318-290-3000
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Provider Business Mailing Address
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Address Line | P.O. BOX 13424
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City | ALEXANDRIA
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State | LA
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Zip | 71315-3424
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Country | US
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Telephone | 318-448-0082
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Fax | 318-290-3000
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LAC#1303
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License Number State | LA
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