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General NPI Number Information
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NPI Number | 1366591497
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Entity Type | Individual
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Provider Name | JOHN STRANGE PHD
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Gender | Male
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 08/12/2008
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Provider Practice Location Address
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Address Line | 1222 N. MAIN SUE 740
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City | SAN ANTONIO
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State | TX
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Zip | 78212
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Country | US
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Telephone | 210-271-7411
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Fax | 210-271-9414
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Provider Business Mailing Address
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Address Line | 1222 N. MAIN SUE 740
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City | SAN ANTONIO
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State | TX
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Zip | 78212
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Country | US
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Telephone | 210-271-7411
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Fax | 210-271-9414
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4828 44622
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License Number State | TX
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