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General NPI Number Information
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NPI Number | 1699718924
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Entity Type | Individual
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Provider Name | STEVEN CHARLES STRAUB PT
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1518 METRO DR STE 108
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City | SCHOFIELD
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State | WI
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Zip | 54476
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Country | US
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Telephone | 715-359-8465
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Fax | 715-359-8832
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Provider Business Mailing Address
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Address Line | 4209 STETTIN DR
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City | WAUSAU
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State | WI
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Zip | 54401
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Country | US
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Telephone | 715-845-8669
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5228024
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License Number State | WI
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