Usually means: Expression emphasizing strong agreement.
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We found 18 dictionaries that define the word and how:

General (16 matching dictionaries)
  1. and how: Merriam-Webster
  2. and how: Oxford Learner's Dictionaries
  3. and how, and how: Collins English Dictionary
  4. and how: Vocabulary.com
  5. And how: Cambridge Advanced Learner's Dictionary
  6. and how: Wiktionary
  7. and how, and how: Dictionary.com
  8. and how: Rhymezone
  9. and how: MyWord.info
  10. and how: FreeDictionary.org
  11. and how: Mnemonic Dictionary
  12. and how: TheFreeDictionary.com
  13. and how: Longman Dictionary of Contemporary English
  14. and how: Merriam-Webster

Miscellaneous (1 matching dictionary)
  1. And how, and how: Idioms

Slang (1 matching dictionary)
  1. And how, and how: Urban Dictionary

Definitions from WordNet (and how)

adverb:  an expression of emphatic agreement


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