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General NPI Number Information
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NPI Number | 1578728648
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Entity Type | Organization
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Legal Business Name | RICHARD C. STRACHAN MS,DMD,PA
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 1402 N HARPER ROAD EXT
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City | CORINTH
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State | MS
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Zip | 38834-3717
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Country | US
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Telephone | 662-286-3141
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Fax |
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Provider Business Mailing Address
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Address Line | 1402 N HARPER ROAD EXT
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City | CORINTH
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State | MS
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Zip | 38834-3717
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Country | US
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Telephone | 662-286-3141
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. RICHARD C STRACHAN
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Credential | DMD
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Telephone | 662-286-3141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 229786
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License Number State | MS
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