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General NPI Number Information
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NPI Number | 1639278575
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Entity Type | Individual
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Provider Name | ERIC JOHN STRANDBERG MD
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Gender | Male
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1151 DENNY WAY
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City | SEATTLE
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State | WA
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Zip | 98109-5326
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Country | US
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Telephone | 206-682-7418
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Fax |
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Provider Business Mailing Address
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Address Line | 19521 22ND AVE NW
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City | SHORELINE
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State | WA
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Zip | 98177-2319
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Country | US
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Telephone | 206-542-7408
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20900
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License Number State | WA
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