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NPI Code Detail

MEDICARE: BONNIE COOK

MEDICARE: BONNIE COOK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistIMF47696CA

General Provider Information

NPI Number : 1942401856
Entity Type Code : Individual
Provider Name (Legal Business Name) : BONNIE COOK
Provider Business Mailing Address
First Line : 1550 WALLER ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94117-2841
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5325 BRODER BLVD
Second Line :
City : DUBLIN
State : CA
Zip : 94568-3309
Country : US
Telephone Number : 925-551-6740
Fax Number : 925-551-6727
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2007
Last Update Date : 07/08/2007

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Directions to “ BONNIE COOK ” Practice Location

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