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General NPI Number Information
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NPI Number | 1851304539
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Entity Type | Organization
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Legal Business Name | JAMES F. STRIETER, OD, PC
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 12/11/2009
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Provider Practice Location Address
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Address Line | 724 ST. LOUIS ROAD
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City | COLLINSVILLE
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State | IL
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Zip | 62234-2032
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Country | US
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Telephone | 618-345-0210
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Fax | 618-345-4770
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Provider Business Mailing Address
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Address Line | 724 ST. LOUIS ROAD
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City | COLLINSVILLE
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State | IL
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Zip | 62234-2032
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Country | US
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Telephone | 618-345-0210
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Fax | 618-345-4770
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Authorized Official
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Title or Position | OD, PARTNER, AUTHORIZED OFFICIAL
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Name | JULIE B HENDRICKS
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Credential | O.D.
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Telephone | 618-345-0210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 046-005800
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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