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General NPI Number Information
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NPI Number | 1881865905
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Entity Type | Organization
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Legal Business Name | RICHARD J STRAUSS, M.D.P.C.
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Dates
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Enumeration Date | 03/17/2008
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Last Update Date | 03/17/2008
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Provider Practice Location Address
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Address Line | 1000 NORTHERN BLVD SUITE 130
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City | GREAT NECK
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State | NY
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Zip | 11021-5312
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Country | US
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Telephone | 516-466-5260
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Fax | 516-466-5266
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Provider Business Mailing Address
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Address Line | 1000 NORTHERN BLVD SUITE 130
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City | GREAT NECK
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State | NY
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Zip | 11021-5312
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Country | US
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Telephone | 516-466-5260
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Fax | 516-466-5266
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Authorized Official
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Title or Position | PHYSICIAN
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Name | RICHARD J STRAUSS
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Credential | M.D.P.C.
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Telephone | 516-466-5260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 116377
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 116377
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License Number State | NY
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