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General NPI Number Information
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NPI Number | 1083741599
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Entity Type | Individual
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Provider Name | STANLEY A. STRAUSS O.D.
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Gender | Male
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1809 MARSH RD
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City | WILMINGTON
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State | DE
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Zip | 19810-4505
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Country | US
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Telephone | 302-475-8897
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Fax | 302-475-6919
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Provider Business Mailing Address
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Address Line | 207 PENNFORD PL
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City | BOOTHWYN
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State | PA
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Zip | 19061-2407
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Country | US
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Telephone | 610-494-8252
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Fax | 302-475-6919
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | I3-0001170
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OE005869P
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License Number State | PA
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