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General NPI Number Information
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NPI Number | 1952625428
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Entity Type | Organization
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Legal Business Name | COOKS HEALTHCARE, LLC
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Dates
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Enumeration Date | 03/26/2010
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Last Update Date | 01/16/2019
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Provider Practice Location Address
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Address Line | 611 MOSS HILL DR
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City | NEW ALBANY
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State | MS
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Zip | 38652-3212
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Country | US
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Telephone | 662-534-6789
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Fax | 662-534-6763
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Provider Business Mailing Address
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Address Line | 611 MOSS HILL DR
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City | NEW ALBANY
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State | MS
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Zip | 38652-3212
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Country | US
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Telephone | 662-534-6789
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Fax | 662-534-6763
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Authorized Official
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Title or Position | OWNER/ MANAGER
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Name | MRS. CALRENEASE COOK
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Credential | LPN
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Telephone | 662-534-6789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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