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General NPI Number Information
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NPI Number | 1457669335
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Entity Type | Organization
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Legal Business Name | JOHN M STRAYHORN MD PA
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 09/14/2010
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Provider Practice Location Address
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Address Line | 1002 TEXAS BLVD STE 400
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City | TEXARKANA
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State | TX
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Zip | 75501-5113
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Country | US
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Telephone | 903-794-3390
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Fax |
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Provider Business Mailing Address
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Address Line | 1002 TEXAS BLVD STE 400
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City | TEXARKANA
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State | TX
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Zip | 75501-5113
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Country | US
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Telephone | 903-794-3390
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JOHN M STRAYHORN
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Credential | MD, PA
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Telephone | 903-794-3390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | H2815
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License Number State | TX
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