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General NPI Number Information
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NPI Number | 1215536016
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Entity Type | Individual
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Provider Name | DIANA STRAUS
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Gender | Female
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Dates
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Enumeration Date | 10/22/2020
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 3204 WILLIAMS DR
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City | GEORGETOWN
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State | TX
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Zip | 78628-2413
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Country | US
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Telephone | 512-863-4671
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Fax |
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Provider Business Mailing Address
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Address Line | 500 CHRIS KELLEY BLVD APT 7301
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City | HUTTO
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State | TX
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Zip | 78634-5761
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Country | US
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Telephone | 608-469-9693
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 68484
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 15283-40
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License Number State | WI
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