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General NPI Number Information
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NPI Number | 1093937039
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Entity Type | Organization
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Legal Business Name | TRAVIS B. STRICKLER, O.D., P.C.
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 05/14/2013
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Provider Practice Location Address
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Address Line | 3100 MERIDIAN PARKE DR STE. B
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City | GREENWOOD
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State | IN
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Zip | 46142-9427
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Country | US
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Telephone | 317-888-9755
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Fax | 317-888-9768
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Provider Business Mailing Address
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Address Line | 1123 HOPKINS RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46229-9796
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Country | US
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Telephone | 317-439-2911
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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. TRAVIS B. STRICKLER
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Credential | O.D.
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Telephone | 317-439-2911
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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 | 18003240A
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License Number State | IN
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