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General NPI Number Information
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NPI Number | 1265611867
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Entity Type | Organization
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Legal Business Name | SUSAN M STRICKLAND, DO PA
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 1328 HOMESTEAD RD N
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City | LEHIGH ACRES
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State | FL
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Zip | 33936-6024
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Country | US
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Telephone | 239-368-2955
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Fax | 239-368-1844
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Provider Business Mailing Address
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Address Line | PO BOX 7227
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City | FORT MYERS
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State | FL
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Zip | 33911-7227
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Country | US
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Telephone | 239-368-2955
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Fax | 239-368-1844
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Authorized Official
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Title or Position | OWNER
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Name | SUSAN STRICKLAND
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Credential | DO
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Telephone | 239-368-2955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS9188
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License Number State | FL
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