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General NPI Number Information
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NPI Number | 1427099563
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Entity Type | Individual
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Provider Name | DAVID JOHN STRUNK O.D.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 07/29/2008
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Provider Practice Location Address
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Address Line | 250 N COURTENAY PKWY
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-3495
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Country | US
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Telephone | 321-453-5700
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Fax | 321-452-5370
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Provider Business Mailing Address
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Address Line | 665 S APOLLO BLVD
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City | MELBOURNE
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State | FL
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Zip | 32901-1485
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Country | US
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Telephone | 321-984-3200
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Fax | 321-984-0032
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC 1371
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License Number State | FL
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