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General NPI Number Information
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NPI Number | 1639156300
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Entity Type | Individual
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Provider Name | RICHARD JAMES STRAKER MD
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Gender | Male
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Dates
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Enumeration Date | 12/23/2005
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 623 MAITLAND AVE STE 2200
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701
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Country | US
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Telephone | 407-830-8661
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Fax | 407-830-0280
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Provider Business Mailing Address
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Address Line | 623 MAITLAND AVE STE 2200
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701
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Country | US
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Telephone | 407-830-8661
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Fax | 407-830-0280
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 29786
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 35.141053
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | ME42810
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License Number State | FL
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