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General NPI Number Information
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NPI Number | 1710178744
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Entity Type | Organization
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Legal Business Name | STRICTLY HOUSE CALLS INC.
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 08/06/2007
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Provider Practice Location Address
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Address Line | 124 SHERWOOD DR
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City | FREEHOLD
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State | NJ
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Zip | 07728-1328
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Country | US
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Telephone | 732-845-4671
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Fax |
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Provider Business Mailing Address
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Address Line | 124 SHERWOOD DR
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City | FREEHOLD
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State | NJ
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Zip | 07728-1328
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Country | US
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Telephone | 732-845-4671
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Fax |
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. DOUGLAS STUART LYNCH
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Credential | DPM
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Telephone | 732-333-1117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | MD00268600
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License Number State | NJ
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