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General NPI Number Information
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NPI Number | 1285737841
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Entity Type | Individual
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Provider Name | ROBERT A STRUBLE MD
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Gender | Male
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 1221 S TRIMBLE RD A-1
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City | MANSFIELD
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State | OH
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Zip | 44907-2200
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Country | US
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Telephone | 419-756-5566
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Fax | 419-756-2791
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Provider Business Mailing Address
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Address Line | 1221 TRIMBLE S A-1
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City | MANSFIELD
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State | OH
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Zip | 44907
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Country | US
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Telephone | 419-756-5566
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Fax | 419-756-2791
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 35029304
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License Number State | OH
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