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General NPI Number Information
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NPI Number | 1669543179
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Entity Type | Individual
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Provider Name | MARK W STRAUSS D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 07/02/2010
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Provider Practice Location Address
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Address Line | 712 D. ST. #D
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City | SAN RAFAEL
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State | CA
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Zip | 94901-3705
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Country | US
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Telephone | 415-457-6999
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Fax |
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Provider Business Mailing Address
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Address Line | 712 D. ST. SUITE D
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City | SAN RAFAEL
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State | CA
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Zip | 94901-3705
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Country | US
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Telephone | 415-457-6999
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Fax | 415-457-6999
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | DC19999
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | D.C.0199990
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License Number State | CA
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