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General NPI Number Information
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NPI Number | 1164050084
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Entity Type | Individual
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Provider Name | THOMAS MCKAY STROBEL MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2020
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 125 E IDAHO ST
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City | BOISE
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State | ID
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Zip | 83712-6212
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Country | US
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Telephone | 208-381-7335
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Fax | 208-381-7227
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Provider Business Mailing Address
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Address Line | 190 E BANNOCK ST
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City | BOISE
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State | ID
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Zip | 83712-6241
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Country | US
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Telephone | 801-581-2121
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Fax |
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | L.5275
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 13867728-1205
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | 13867728-1205
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License Number State | UT
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 9861579
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License Number State | ID
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