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General NPI Number Information
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NPI Number | 1497410005
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Entity Type | Organization
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Legal Business Name | STRIVEMD
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Dates
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Enumeration Date | 11/08/2021
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Last Update Date | 01/26/2023
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Provider Practice Location Address
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Address Line | 9817 SUZANNE CT STE A
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City | WAXHAW
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State | NC
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Zip | 28173-6976
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Country | US
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Telephone | 704-412-4124
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Fax |
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Provider Business Mailing Address
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Address Line | 9817 SUZANNE CT STE A
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City | WAXHAW
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State | NC
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Zip | 28173-6976
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Country | US
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Telephone | 704-412-4124
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JULIE HOWSON
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Credential | MD
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Telephone | 704-412-4124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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