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General NPI Number Information
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NPI Number | 1235846759
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Entity Type | Organization
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Legal Business Name | LUKE HOOKER, DMD, P.C.
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Dates
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Enumeration Date | 11/03/2022
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Last Update Date | 11/03/2022
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Provider Practice Location Address
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Address Line | 318 BURR RIDGE PKWY
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City | BURR RIDGE
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State | IL
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Zip | 60527-6485
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Country | US
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Telephone | 630-896-0484
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Fax |
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Provider Business Mailing Address
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Address Line | 1130 S PROSPECT AVE
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City | ELMHURST
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State | IL
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Zip | 60126-5208
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LUKE HOOKER
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Credential | DMD
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Telephone | 630-748-9702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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