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General NPI Number Information
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NPI Number | 1437603834
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Entity Type | Individual
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Provider Name | MARY ANN STROUPE PHD
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Gender | Female
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Dates
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Enumeration Date | 08/15/2016
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Last Update Date | 08/15/2016
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Provider Practice Location Address
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Address Line | ROOM 161 BLDG 719-5N SAVANNAH RIVER SITE
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City | AIKEN
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State | SC
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Zip | 29808-0001
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Country | US
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Telephone | 803-557-5344
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Fax |
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Provider Business Mailing Address
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Address Line | 2058 ALPINE DR
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City | AIKEN
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State | SC
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Zip | 29803-5746
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Country | US
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Telephone | 803-645-1926
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Fax |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 000791
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License Number State | SC
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