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General NPI Number Information
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NPI Number | 1144274556
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Entity Type | Organization
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Legal Business Name | COOK CHIROPRACTIC & REHABILITATION PC
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 266 S 7TH ST STE B
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City | INDIANA
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State | PA
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Zip | 15701-2946
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Country | US
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Telephone | 724-465-9160
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Fax | 724-465-9161
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Provider Business Mailing Address
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Address Line | 266 S 7TH ST STE B
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City | INDIANA
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State | PA
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Zip | 15701-2946
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Country | US
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Telephone | 724-465-9160
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Fax | 724-465-9161
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Authorized Official
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Title or Position | OWNER PRESIDENT DOCTOR
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Name | DR. SCOTT R COOK
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Credential | DC
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Telephone | 724-465-9160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC007584L
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License Number State | PA
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