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General NPI Number Information
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NPI Number | 1073812707
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Entity Type | Organization
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Legal Business Name | STRIPLING MEDICAL LLC
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Dates
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Enumeration Date | 03/21/2011
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Last Update Date | 03/21/2011
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Provider Practice Location Address
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Address Line | 1133 EAGLES LANDING PKWY
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-5085
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Country | US
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Telephone | 678-604-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 719 BETHPAGE DR
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City | MCDONOUGH
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State | GA
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Zip | 30253-4018
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Country | US
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Telephone | 770-507-9268
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. DENISE LYNELLE STRIPLING
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Credential | M.D.
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Telephone | 770-507-9268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 058648
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License Number State | GA
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