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General NPI Number Information
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NPI Number | 1811376064
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Entity Type | Organization
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Legal Business Name | STROEDE ORTHODONTICS
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Dates
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Enumeration Date | 05/20/2015
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Last Update Date | 05/20/2015
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Provider Practice Location Address
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Address Line | 15990 S BRADLEY DR
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City | OLATHE
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State | KS
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Zip | 66062-3925
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Country | US
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Telephone | 913-491-3400
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Fax | 913-273-1818
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Provider Business Mailing Address
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Address Line | 15990 S BRADLEY DR
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City | OLATHE
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State | KS
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Zip | 66062-3925
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Country | US
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Telephone | 913-491-3400
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Fax | 913-273-1818
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Authorized Official
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Title or Position | MANAGER
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Name | DR. CLAIRE L STROEDE
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Credential | DDS
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Telephone | 614-312-7986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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