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General NPI Number Information
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NPI Number | 1780997734
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Entity Type | Individual
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Provider Name | JULIE ANN KEEGAN STROSSER PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/20/2010
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Last Update Date | 02/25/2021
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Provider Practice Location Address
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Address Line | 2801 NE 213TH ST STE 801
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City | AVENTURA
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State | FL
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Zip | 33180-1264
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Country | US
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Telephone | 305-652-6676
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Fax | 305-932-6335
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Provider Business Mailing Address
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Address Line | 2801 NE 213TH ST STE 801
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City | AVENTURA
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State | FL
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Zip | 33180-1264
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Country | US
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Telephone | 305-652-6676
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Fax | 305-932-6335
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA054374
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9108862
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License Number State | FL
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