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General NPI Number Information
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NPI Number | 1548249816
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Entity Type | Individual
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Provider Name | JOHN M STRITTMATTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/13/2006
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Last Update Date | 09/06/2012
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Provider Practice Location Address
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Address Line | 101 -A PROFESSIONAL PARK DRIVE
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City | OXFORD
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State | NC
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Zip | 27565-2580
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Country | US
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Telephone | 919-693-3972
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Fax | 919-693-1700
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Provider Business Mailing Address
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Address Line | 5213 S. ALSTON AVENUE
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City | DURHAM
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State | NC
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Zip | 27713-4430
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Country | US
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Telephone |
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Fax |
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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 | MD029417E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2012-01246
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License Number State | NC
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