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General NPI Number Information
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NPI Number | 1437274446
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Entity Type | Organization
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Legal Business Name | FRED STRIBLING, M.D., P.C.
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1710 W 3RD ST SUITE 104
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City | ELK CITY
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State | OK
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Zip | 73644-5159
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Country | US
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Telephone | 580-243-1002
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Fax | 580-243-1003
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Provider Business Mailing Address
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Address Line | PO BOX 645
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City | ELK CITY
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State | OK
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Zip | 73648-0645
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Country | US
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Telephone | 580-243-1002
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Fax | 580-243-1003
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRED STRIBLING
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Credential | M.D.
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Telephone | 580-243-1002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME71192
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD058533L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD00047693
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 22678
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License Number State | OK
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