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General NPI Number Information
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NPI Number | 1497221733
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Entity Type | Individual
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Provider Name | JO NELL MARIE COOL DC, ND, CACCP
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Gender | Female
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Dates
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Enumeration Date | 10/14/2018
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 4555 N LINCOLN AVE
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City | CHICAGO
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State | IL
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Zip | 60625-2102
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Country | US
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Telephone | 773-328-8153
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Fax |
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Provider Business Mailing Address
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Address Line | 7304 MCCLELLAN RD
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City | WELLINGTON
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State | CO
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Zip | 80549-2233
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | ND.0000190
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License Number State | CO
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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 | CHR.0007843
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHR0007843
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License Number State | CO
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