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General NPI Number Information
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NPI Number | 1356514798
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Entity Type | Organization
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Legal Business Name | DANIEL O. COOK, D.C., P.C.,
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Dates
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Enumeration Date | 04/07/2008
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Last Update Date | 04/07/2008
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Provider Practice Location Address
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Address Line | 1765 STATE ST
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City | SALEM
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State | OR
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Zip | 97301-4342
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Country | US
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Telephone | 503-585-2585
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Fax | 503-588-4133
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Provider Business Mailing Address
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Address Line | 1765 STATE ST
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City | SALEM
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State | OR
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Zip | 97301-4342
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Country | US
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Telephone | 503-585-2585
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Fax | 503-588-4133
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. DANIEL O COOK
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Credential | D.C.
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Telephone | 503-585-2585
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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 | 3200
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License Number State | OR
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