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General NPI Number Information
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NPI Number | 1427305614
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Entity Type | Individual
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Provider Name | STACEY LYNN STRAYER D.P.T.
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Gender | Female
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Dates
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Enumeration Date | 08/07/2012
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Last Update Date | 09/26/2016
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Provider Practice Location Address
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Address Line | 715 CONGRESS PARK DR
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City | CENTERVILLE
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State | OH
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Zip | 45459-4044
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Country | US
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Telephone | 937-660-7638
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Fax | 888-972-7349
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Provider Business Mailing Address
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Address Line | 7753 COX LN # 31
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City | WEST CHESTER
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State | OH
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Zip | 45069-6549
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Country | US
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Telephone | 513-802-1929
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Fax | 888-972-7349
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT. 013731
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | PT. 013731
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT. 013731
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License Number State | OH
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