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General NPI Number Information
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NPI Number | 1477928232
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Entity Type | Organization
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Legal Business Name | GREGORY D STREBEL DO LLC
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Dates
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Enumeration Date | 12/04/2015
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Last Update Date | 12/04/2015
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Provider Practice Location Address
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Address Line | 1409 FRANKLIN ST SUITE 103
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City | VANCOUVER
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State | WA
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Zip | 98660-2899
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Country | US
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Telephone | 360-718-7603
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Fax |
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Provider Business Mailing Address
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Address Line | 1409 FRANKLIN ST SUITE 103
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City | VANCOUVER
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State | WA
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Zip | 98660-2899
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Country | US
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Telephone | 360-718-7603
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Fax |
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Authorized Official
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Title or Position | MEMBER AND MANAGER
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Name | GREGORY D STREBEL
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Credential | DO
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Telephone | 619-804-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | OP 60604514
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License Number State | WA
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