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General NPI Number Information
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NPI Number | 1144548447
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Entity Type | Organization
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Legal Business Name | ROBERT S. STRANGE
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Dates
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Enumeration Date | 05/11/2010
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Last Update Date | 05/11/2010
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Provider Practice Location Address
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Address Line | 17 FORT EVANS RD NE STE E
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City | LEESBURG
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State | VA
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Zip | 20176-4400
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Country | US
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Telephone | 703-777-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 17 FORT EVANS RD NE STE E
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City | LEESBURG
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State | VA
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Zip | 20176-4400
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Country | US
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Telephone | 703-777-9200
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. LINDA ANN GARRETT
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Credential |
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Telephone | 703-777-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 0401006833
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License Number State | VA
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