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General NPI Number Information
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NPI Number | 1730520909
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Entity Type | Organization
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Legal Business Name | STROH'S CHIROPRACTIC AND WELLNESS PLLC
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Dates
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Enumeration Date | 07/16/2013
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Last Update Date | 04/30/2018
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Provider Practice Location Address
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Address Line | 1226 E 2 1/2 ST
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City | MERIDIAN
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State | ID
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Zip | 83642-1711
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Country | US
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Telephone | 208-813-6167
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Fax |
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Provider Business Mailing Address
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Address Line | 1226 E 2 1/2 ST
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City | MERIDIAN
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State | ID
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Zip | 83642-1711
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Country | US
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Telephone | 208-813-6167
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSHUA STROH
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Credential | D.C.
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Telephone | 208-813-6167
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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 | CHIA-1201
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License Number State | ID
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