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General NPI Number Information
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NPI Number | 1215339320
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Entity Type | Organization
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Legal Business Name | THE STRITTMATTER CENTER FOR WELLNESS, PLLC
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Dates
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Enumeration Date | 09/19/2014
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Last Update Date | 09/19/2014
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Provider Practice Location Address
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Address Line | 1405 N ELM ST
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City | DENTON
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State | TX
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Zip | 76201-3089
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Country | US
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Telephone | 940-387-6387
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Fax | 940-387-6377
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Provider Business Mailing Address
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Address Line | 1405 N ELM ST
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City | DENTON
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State | TX
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Zip | 76201-3089
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Country | US
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Telephone | 940-387-6387
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Fax | 940-387-6377
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Authorized Official
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Title or Position | OWNER/ PRESIDENT
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Name | MARLA STRITTMATTER
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Credential | MD
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Telephone | 940-367-7316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | K5411
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License Number State | TX
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