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General NPI Number Information
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NPI Number | 1225388754
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Entity Type | Organization
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Legal Business Name | HOWARD B. KOOK, D.C., P.C.
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Dates
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Enumeration Date | 09/12/2012
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Last Update Date | 03/10/2022
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Provider Practice Location Address
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Address Line | 1955 SPRINGFIELD AVE SUITE 104
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-3441
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Country | US
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Telephone | 973-762-2526
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Fax | 973-762-1713
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Provider Business Mailing Address
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Address Line | 1955 SPRINGFIELD AVE SUITE 104
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-3441
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Country | US
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Telephone | 973-762-2526
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Fax | 973-762-1713
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CATHY SEATER
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Credential |
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Telephone | 973-762-2526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 38MC0288000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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