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General NPI Number Information
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NPI Number | 1093808776
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Entity Type | Organization
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Legal Business Name | SANDRA STROUD OD PA
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8864 STATE ROAD 52 PLAZA OF THE OAKS
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City | HUDSON
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State | FL
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Zip | 34667-6741
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Country | US
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Telephone | 727-819-0990
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Fax |
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Provider Business Mailing Address
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Address Line | 8864 STATE ROAD 52 PLAZA OF THE OAKS
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City | HUDSON
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State | FL
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Zip | 34667-6741
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Country | US
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Telephone | 727-819-0990
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SANDRA STROUD
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Credential |
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Telephone | 727-937-6551
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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 | 0002767
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License Number State | FL
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