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General NPI Number Information
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NPI Number | 1134616626
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Entity Type | Organization
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Legal Business Name | JOAN E STRAWSON, LLC
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Dates
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Enumeration Date | 04/19/2018
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Last Update Date | 04/19/2018
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Provider Practice Location Address
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Address Line | 1298 W WASHINGTON ST
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City | HARPERS FERRY
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State | WV
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Zip | 25425-6300
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Country | US
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Telephone | 910-528-9768
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Fax |
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Provider Business Mailing Address
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Address Line | 237 S MARKET ST
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City | FREDERICK
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State | MD
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Zip | 21701-6526
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Country | US
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Telephone | 910-528-9768
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOAN E STRAWSON
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Credential | MAC, LAC
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Telephone | 910-528-9768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | U02340
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License Number State | MD
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