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NPI 1568456895

NPI 1568456895 : CHARLES STROBER M.D. : MIDDLETOWN, NY

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General NPI Number Information
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    NPI Number           |    1568456895
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    Entity Type          |    Individual 
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    Provider Name        |    CHARLES STROBER M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/01/2005
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    Last Update Date     |    12/30/2022
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Provider Practice Location Address
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    Address Line         |    210 EAST MAIN STREET 
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    City                 |    MIDDLETOWN
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    State                |    NY
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    Zip                  |    10940-4038
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    Country              |    US
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    Telephone            |    845-343-4848
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    Fax                  |    845-344-4482
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Provider Business Mailing Address
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    Address Line         |    210 EAST MAIN STREET 
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    City                 |    MIDDLETOWN
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    State                |    NY
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    Zip                  |    10940-4038
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    Country              |    US
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    Telephone            |    845-343-4848
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    Fax                  |    845-344-4482
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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        |    207RN0300X
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    Taxonomy Name        |    Nephrology Physician
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    License Number       |    106253
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    106253
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    License Number State |    NY
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