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General NPI Number Information
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NPI Number | 1477970051
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Entity Type | Individual
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Provider Name | MICHAEL STRAUB NURSE PRACTITIONER
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Gender | Male
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Dates
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Enumeration Date | 03/21/2014
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Last Update Date | 08/26/2021
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Provider Practice Location Address
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Address Line | 1633 ROUTE 51 STE 105
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City | JEFFERSON HILLS
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State | PA
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Zip | 15025-3652
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Country | US
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Telephone | 412-775-2019
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Fax | 127-775-2243
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Provider Business Mailing Address
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Address Line | 1633 ROUTE 51 STE 105
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City | JEFFERSON HILLS
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State | PA
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Zip | 15025-3652
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Country | US
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Telephone | 412-775-2019
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Fax | 127-775-2243
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP013572
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License Number State | PA
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