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General NPI Number Information
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NPI Number | 1457403941
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Entity Type | Organization
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Legal Business Name | STRAMARA CHIROPRACTIC, S.C.
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 501 HALL ST
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City | WATERTOWN
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State | WI
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Zip | 53094-4105
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Country | US
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Telephone | 920-261-5784
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Fax |
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Provider Business Mailing Address
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Address Line | 501 HALL ST
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City | WATERTOWN
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State | WI
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Zip | 53094-4105
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAMUEL JOHN STRAMARA
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Credential |
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Telephone | 920-261-5784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3075012
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License Number State | WI
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