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NPI 1881033371

NPI 1881033371 : NICHOLAS PATRICK STRASSER D.O. : SPOKANE VALLEY, WA

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General NPI Number Information
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    NPI Number           |    1881033371
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    Entity Type          |    Individual 
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    Provider Name        |    NICHOLAS PATRICK STRASSER D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/18/2013
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    Last Update Date     |    02/18/2025
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Provider Practice Location Address
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    Address Line         |    16201 E INDIANA AVE STE 5300 
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    City                 |    SPOKANE VALLEY
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    State                |    WA
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    Zip                  |    99216-1882
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    Country              |    US
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    Telephone            |    509-530-5240
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    Fax                  |    509-891-4088
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Provider Business Mailing Address
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    Address Line         |    PO BOX 5299 MS: 820-5-PCO
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    City                 |    TACOMA
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    State                |    WA
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    Zip                  |    98415-0299
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    OP60738448
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    207QS0010X
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    Taxonomy Name        |    Sports Medicine (Family Medicine) Physician
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    License Number       |    OP60738446
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    License Number State |    WA
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