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General NPI Number Information
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NPI Number | 1225337165
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Entity Type | Organization
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Legal Business Name | JOHN E STREIT MD PA
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Dates
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Enumeration Date | 03/17/2011
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Last Update Date | 08/02/2011
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Provider Practice Location Address
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Address Line | 4014 22ND PL SUITE 4
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City | LUBBOCK
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State | TX
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Zip | 79410-1103
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Country | US
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Telephone | 806-795-3937
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Fax | 806-795-4813
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Provider Business Mailing Address
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Address Line | 4014 22ND PL SUITE 4
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City | LUBBOCK
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State | TX
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Zip | 79410-1103
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Country | US
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Telephone | 806-795-3937
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Fax | 806-795-4813
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. JOHN E STREIT
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Credential | MD
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Telephone | 806-795-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G8450
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License Number State | TX
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