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General NPI Number Information
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NPI Number | 1588945703
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Entity Type | Individual
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Provider Name | HOWARD CLINTON COOK JR. R.PH., BCNSP, FASHP
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Gender | Male
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Dates
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Enumeration Date | 09/01/2011
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Last Update Date | 03/12/2014
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Provider Practice Location Address
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Address Line | 654 MAIN ST
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City | HELLERTOWN
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State | PA
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Zip | 18055-1726
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Country | US
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Telephone | 610-838-0411
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Fax |
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Provider Business Mailing Address
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Address Line | 5435 COMFORT CIR
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City | BETHLEHEM
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State | PA
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Zip | 18017-9052
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Country | US
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Telephone | 610-597-7293
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP030948L
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License Number State | PA
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