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General NPI Number Information
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NPI Number | 1972759595
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Entity Type | Individual
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Provider Name | ROBERT C. HOOKO CRNA
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Gender | Male
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Dates
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Enumeration Date | 08/14/2008
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Last Update Date | 03/23/2012
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Provider Practice Location Address
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Address Line | 2286 S CORTLAND VIRGIL RD
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City | CORTLAND
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State | NY
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Zip | 13045-8985
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Country | US
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Telephone | 607-821-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 2286 S CORTLAND VIRGIL RD
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City | CORTLAND
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State | NY
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Zip | 13045-8985
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Country | US
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Telephone | 607-821-8800
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 5367691
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License Number State | NY
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