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General NPI Number Information
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NPI Number | 1336230606
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Entity Type | Individual
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Provider Name | JEROME JOHN STRECKER PH.D
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Gender | Male
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 1008 MEGERT CTR
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City | BORGER
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State | TX
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Zip | 79007-2404
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Country | US
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Telephone | 806-274-7313
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Fax | 806-274-4227
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Provider Business Mailing Address
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Address Line | PO BOX 835
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City | FRITCH
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State | TX
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Zip | 79036-0835
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Country | US
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Telephone | 806-857-2422
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | TX
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