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General NPI Number Information
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NPI Number | 1538130281
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Entity Type | Individual
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Provider Name | R. G. STRATT MD, PA
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Gender | Male
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Dates
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Enumeration Date | 01/31/2006
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Last Update Date | 03/28/2008
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Provider Practice Location Address
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Address Line | 100 N FEDERAL HWY SUITE C-2
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City | FT LAUDERDALE
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State | FL
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Zip | 33301-1129
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Country | US
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Telephone | 954-765-1316
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Fax | 954-765-1461
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Provider Business Mailing Address
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Address Line | 100 N FEDERAL HWY SUITE C-2
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City | FT LAUDERDALE
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State | FL
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Zip | 33301-1129
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Country | US
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Telephone | 954-765-1316
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Fax | 954-765-1461
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME0074811
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License Number State | FL
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