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General NPI Number Information
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NPI Number | 1457546889
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Entity Type | Organization
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Legal Business Name | STRONG HEALTHCARE, INC
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 10/24/2018
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Provider Practice Location Address
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Address Line | 420 N COIT RD STE 2016
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City | RICHARDSON
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State | TX
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Zip | 75080-5447
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Country | US
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Telephone | 972-664-1616
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Fax | 972-664-1615
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Provider Business Mailing Address
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Address Line | 420 N COIT RD STE 2016
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City | RICHARDSON
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State | TX
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Zip | 75080-5447
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Country | US
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Telephone | 972-664-1616
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Fax | 972-664-1615
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Authorized Official
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Title or Position | PEDIATRIC NURSE PRACTITIONER/OWNER
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Name | MRS. MARTHA STRONG
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Credential | CPNP
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Telephone | 972-664-1616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 625371
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License Number State | TX
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