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General NPI Number Information
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NPI Number | 1104856764
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Entity Type | Individual
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Provider Name | STEPHEN STRATEGOS M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 9300 STOCKDALE HWY
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City | BAKERSFIELD
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State | CA
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Zip | 93311-3613
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Country | US
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Telephone | 661-654-0400
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Fax | 661-654-2633
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Provider Business Mailing Address
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Address Line | PO BOX 2326
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City | BAKERSFIELD
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State | CA
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Zip | 93303-2326
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Country | US
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Telephone | 661-654-0400
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Fax | 661-654-2633
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A55968
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License Number State | CA
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