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General NPI Number Information
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NPI Number | 1831109271
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Entity Type | Organization
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Legal Business Name | EARL C . STRAYHORN M.D., P.C.
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6160 KEMPSVILLE CIR SUITE 317 B
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City | NORFOLK
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State | VA
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Zip | 23502-3933
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Country | US
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Telephone | 757-461-4278
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Fax | 757-461-1494
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Provider Business Mailing Address
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Address Line | 6160 KEMPSVILLE CIR SUITE 317 B
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City | NORFOLK
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State | VA
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Zip | 23502-3933
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Country | US
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Telephone | 757-461-4278
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Fax | 757-461-1494
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MS. PATRICIA MARLENE BLOCKER-PALMER
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Credential | RN, BS, MA
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Telephone | 757-461-4278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 0101035788
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License Number State | VA
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