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General NPI Number Information
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NPI Number | 1003923426
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Entity Type | Individual
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Provider Name | DANIEL B STROUPE MD
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Gender | Male
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 610 S MAPLE AVE STE 4050
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City | OAK PARK
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State | IL
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Zip | 60304-1091
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Country | US
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Telephone | 708-383-0943
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Fax | 708-613-4382
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Provider Business Mailing Address
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Address Line | 610 S MAPLE AVE STE 4050
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City | OAK PARK
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State | IL
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Zip | 60304-1091
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Country | US
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Telephone | 83-830-9437
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Fax | 708-613-4382
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD25513
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | L8650
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 036- 106665
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 036106665
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License Number State | IL
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