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General NPI Number Information
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NPI Number | 1801924956
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Entity Type | Individual
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Provider Name | ROBERT LEE STRAIN DDS
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Gender | Male
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 06/17/2019
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Provider Practice Location Address
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Address Line | 1227 WILLOW CREEK RD
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City | PRESCOTT
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State | AZ
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Zip | 86301-1427
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Country | US
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Telephone | 928-778-7227
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Fax |
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Provider Business Mailing Address
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Address Line | 1636 MORNING STONE DR
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City | PRESCOTT
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State | AZ
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Zip | 86305-1101
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Country | US
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Telephone | 714-292-5238
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Fax | 760-418-8270
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 23044
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | D010293
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License Number State | AZ
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