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General NPI Number Information
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NPI Number | 1235433426
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Entity Type | Individual
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Provider Name | DAVID LIONEL STROUT FNP
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Gender | Male
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Dates
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Enumeration Date | 01/02/2011
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Last Update Date | 12/09/2021
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Provider Practice Location Address
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Address Line | 4729 E CAMP LOWELL DR
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City | TUCSON
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State | AZ
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Zip | 85712-1256
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Country | US
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Telephone | 520-838-3540
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Fax | 520-325-3526
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Provider Business Mailing Address
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Address Line | 3709 N CAMPBELL AVE STE 201
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City | TUCSON
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State | AZ
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Zip | 85719-1563
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Country | US
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Telephone | 520-838-2122
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Fax | 520-838-2245
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN105548
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License Number State | AZ
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