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General NPI Number Information
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NPI Number | 1871787374
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Entity Type | Individual
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Provider Name | DAVID M. STROUP PH.D.
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Gender | Male
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 09/02/2010
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Provider Practice Location Address
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Address Line | 1700 NW GILMAN BLVD SUITE #205
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City | ISSAQUAH
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State | WA
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Zip | 98027-5349
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Country | US
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Telephone | 206-395-9301
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Fax | 309-406-6366
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Provider Business Mailing Address
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Address Line | 1037 NE 65TH ST SUITE #345
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City | SEATTLE
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State | WA
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Zip | 98115-6655
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Country | US
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Telephone | 206-395-9301
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Fax | 309-406-6366
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 60128042
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License Number State | WA
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