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General NPI Number Information
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NPI Number | 1144430265
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Entity Type | Individual
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Provider Name | KEVIN STRAWBRIDGE L.M.F.T.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 02/04/2010
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Provider Practice Location Address
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Address Line | 2344 BROADWAY ST.
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City | INDIANAPOLIS
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State | IN
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Zip | 46205-4560
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Country | US
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Telephone | 317-523-8992
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Fax | 317-885-1070
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Provider Business Mailing Address
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Address Line | 2344 BROADWAY ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46205-4550
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Country | US
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Telephone | 317-523-8992
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Fax | 317-885-1070
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 35001545A
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License Number State | IN
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