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NPI 1689845786

NPI 1689845786 : DONALD JOSEPH STRASBURGER JR. DC : WAVERLY, PA

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General NPI Number Information
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    NPI Number           |    1689845786
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    Entity Type          |    Individual 
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    Provider Name        |    DONALD JOSEPH STRASBURGER JR. DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/17/2008
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    Last Update Date     |    08/26/2009
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Provider Practice Location Address
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    Address Line         |    102 LILY LAKE RD. 
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    City                 |    WAVERLY
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    State                |    PA
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    Zip                  |    18471-0495
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    Country              |    US
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    Telephone            |    570-563-2565
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 495 
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    City                 |    WAVERLY
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    State                |    PA
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    Zip                  |    18471-0495
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    Country              |    US
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    Telephone            |    
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    DC006998L
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    License Number State |    PA
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