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NPI 1104836683

NPI 1104836683 : BRIAN M STRUMPF MD : MOLINE, IL

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General NPI Number Information
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    NPI Number           |    1104836683
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    Entity Type          |    Individual 
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    Provider Name        |    BRIAN M STRUMPF MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/08/2006
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    Last Update Date     |    06/30/2021
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Provider Practice Location Address
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    Address Line         |    545 VALLEY VIEW DR VALLEY VIEW ANESTHESIA, LLC
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    City                 |    MOLINE
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    State                |    IL
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    Zip                  |    61265-6138
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    Country              |    US
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    Telephone            |    309-762-5560
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    Fax                  |    309-762-1191
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Provider Business Mailing Address
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    Address Line         |    545 VALLEY VIEW DR 
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    City                 |    MOLINE
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    State                |    IL
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    Zip                  |    61265-6138
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    Country              |    US
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    Telephone            |    309-762-5560
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    Fax                  |    309-277-1191
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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        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    036081368
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    License Number State |    IL
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