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General NPI Number Information
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NPI Number | 1629078134
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Entity Type | Individual
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Provider Name | JEFFREY SCOTT STROUP PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 744 W 9TH ST
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City | TULSA
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State | OK
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Zip | 74127-9028
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Country | US
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Telephone | 918-660-3568
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Fax | 918-660-3009
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Provider Business Mailing Address
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Address Line | 12004 S SYCAMORE ST
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City | JENKS
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State | OK
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Zip | 74037-4393
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Country | US
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Telephone | 918-660-3568
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Fax | 918-660-3009
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 13329
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License Number State | OK
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