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General NPI Number Information
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NPI Number | 1619927134
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Entity Type | Individual
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Provider Name | PAUL L. STRAUSBAUGH M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 10/31/2007
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Provider Practice Location Address
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Address Line | 1 ARH LANE SUITE 103
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City | LOW MOOR
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State | VA
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Zip | 24457
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Country | US
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Telephone | 540-862-6744
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Fax | 540-862-6749
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Provider Business Mailing Address
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Address Line | PO BOX 609 4095 MCKINNEY HOLLOW RD.
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City | CLIFTON FORGE
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State | VA
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Zip | 24422-0609
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Country | US
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Telephone | 540-862-6744
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Fax | 540-862-6749
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 0101034353
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License Number State | VA
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