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General NPI Number Information
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NPI Number | 1780725929
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Entity Type | Organization
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Legal Business Name | DOROTHY V STRAW
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 08/01/2012
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Provider Practice Location Address
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Address Line | 4100 NW 3RD CT SUITE 110
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City | PLANTATION
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State | FL
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Zip | 33317-2813
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Country | US
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Telephone | 954-584-8222
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Fax |
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Provider Business Mailing Address
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Address Line | 4100 NW 3RD CT SUITE 110
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City | PLANTATION
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State | FL
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Zip | 33317-2813
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Country | US
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Telephone | 954-584-8222
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. DOROTHY VIOLA STRAW
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Credential | MD
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Telephone | 954-584-8222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State | FL
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