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General NPI Number Information
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NPI Number | 1124124409
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Entity Type | Individual
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Provider Name | DARIN STRAKO OD
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Gender | Male
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 10436 SOUTHWEST HWY STE 101
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City | CHICAGO RIDGE
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State | IL
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Zip | 60415-2282
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Country | US
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Telephone | 85-864-9227
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Fax | 708-423-4216
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Provider Business Mailing Address
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Address Line | 10436 SOUTHWEST HWY STE 101
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City | CHICAGO RIDGE
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State | IL
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Zip | 60415-2282
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Country | US
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Telephone | 708-586-4922
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Fax | 708-423-4216
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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 | 18004310A
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License Number State | IN
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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 | 346001515
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License Number State | IL
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