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NPI 1396257168

NPI 1396257168 : STRICKLAND FAMILY DENTISTRY : SARASOTA, FL

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General NPI Number Information
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    NPI Number           |    1396257168
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    Entity Type          |    Organization 
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    Legal Business Name  |    STRICKLAND FAMILY DENTISTRY 
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Dates
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    Enumeration Date     |    11/01/2017
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    Last Update Date     |    06/16/2018
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Provider Practice Location Address
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    Address Line         |    8551 S. TAMIAMI TRAIL 
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    City                 |    SARASOTA
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    State                |    FL
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    Zip                  |    34238
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    Country              |    US
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    Telephone            |    941-213-4400
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    Fax                  |    941-213-4410
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Provider Business Mailing Address
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    Address Line         |    8551 S. TAMIAMI TRAIL 
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    City                 |    SARASOTA
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    State                |    FL
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    Zip                  |    34238
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    Country              |    US
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    Telephone            |    941-213-4400
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    Fax                  |    941-213-4410
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Authorized Official
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    Title or Position    |    ADMIN
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    Name                 |     KIM  STEVENS 
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    Credential           |    
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    Telephone            |    941-815-0391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    DN12560
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    License Number State |    FL
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