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General NPI Number Information
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NPI Number | 1144277419
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Entity Type | Organization
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Legal Business Name | GERMAINE D STROTHER, MD INC
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 09/10/2010
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Provider Practice Location Address
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Address Line | 7197 BROCKTON SUITE 1
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City | RIVERSIDE
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State | CA
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Zip | 92506-2637
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Country | US
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Telephone | 951-682-4560
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Fax | 951-682-4535
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Provider Business Mailing Address
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Address Line | 7197 BROCKTON SUITE 1
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City | RIVERSIDE
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State | CA
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Zip | 92506-2637
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Country | US
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Telephone | 951-682-4560
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Fax | 951-682-4535
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | GERMAINE D. STROTHER
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Credential | M.D.
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Telephone | 951-682-4560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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