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General NPI Number Information
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NPI Number | 1467621367
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Entity Type | Organization
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Legal Business Name | STRUPE CHIROPRACTIC CENTER, PA
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 02/25/2008
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Provider Practice Location Address
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Address Line | 128 N SPRUCE ST
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City | WINSTON SALEM
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State | NC
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Zip | 27101-2734
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Country | US
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Telephone | 336-722-2011
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Fax |
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Provider Business Mailing Address
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Address Line | 128 N SPRUCE ST
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City | WINSTON SALEM
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State | NC
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Zip | 27101-2734
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Country | US
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Telephone | 336-722-2011
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. FLOYD J STRUPE III
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Credential | D.C.
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Telephone | 336-722-2011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 1219
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License Number State | NC
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