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General NPI Number Information
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NPI Number | 1215126370
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Entity Type | Organization
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Legal Business Name | STROTHER NURSING & SURGICAL SERVICES LLC
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 11/06/2014
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Provider Practice Location Address
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Address Line | 6305 BRECHIN DR
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City | BRANDYWINE
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State | MD
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Zip | 20613-6261
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Country | US
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Telephone | 240-383-0436
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Fax | 240-383-0436
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Provider Business Mailing Address
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Address Line | PO BOX 197
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City | CHELTENHAM
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State | MD
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Zip | 20623-0197
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Country | US
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Telephone | 240-383-0436
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Fax | 240-383-0436
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Authorized Official
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Title or Position | CEO
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Name | ERIC THURMAN STROTHER
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Credential | L.C.S.A.
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Telephone | 240-383-0436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | SA0001
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License Number State | DC
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