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General NPI Number Information
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NPI Number | 1023214954
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Entity Type | Individual
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Provider Name | RONALD W STRAHAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1260 15TH ST SUITE 600
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City | SANTA MONICA
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State | CA
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Zip | 90404-1135
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Country | US
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Telephone | 310-394-0500
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Fax | 310-471-5788
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Provider Business Mailing Address
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Address Line | 289 N TIGERTAIL RD
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City | LOS ANGELES
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State | CA
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Zip | 90049-2803
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Country | US
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Telephone | 310-925-6425
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Fax | 310-472-3965
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | C28592
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License Number State | CA
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