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NPI Code Detail

MEDICARE: EREN DOKO

MEDICARE: EREN DOKO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1801739131
Entity Type Code : Individual
Provider Name (Legal Business Name) : EREN DOKO
Provider Business Mailing Address
First Line : 56 CLARA ST
Second Line :
City : NORTH HALEDON
State : NJ
Zip : 07508-2341
Country : US
Telephone Number : 973-997-9625
Fax Number :
Provider Business Practice Location Address
First Line : 300 POMPTON RD
Second Line :
City : WAYNE
State : NJ
Zip : 07470-2103
Country : US
Telephone Number : 973-997-9625
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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