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General NPI Number Information
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NPI Number | 1679741979
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Entity Type | Organization
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Legal Business Name | MARY STRAHAN, O.D., PLLC
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Dates
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Enumeration Date | 02/20/2008
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Last Update Date | 02/20/2008
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Provider Practice Location Address
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Address Line | 100 N LHS DR
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City | LUMBERTON
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State | TX
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Zip | 77657-8619
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Country | US
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Telephone | 409-755-2121
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Fax | 409-755-2138
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Provider Business Mailing Address
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Address Line | PO BOX 30144
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City | LUMBERTON
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State | TX
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Zip | 77657-1082
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Country | US
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Telephone | 409-755-2121
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Fax | 409-755-2138
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARY ELIZABETH STRAHAN
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Credential | O.D.
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Telephone | 409-755-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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