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General NPI Number Information
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NPI Number | 1891319224
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Entity Type | Individual
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Provider Name | SAMUEL JOSEPH STROBEL DO
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Gender | Male
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Dates
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Enumeration Date | 06/01/2020
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 2817 ROCK MERRITT AVE
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City | FORT LIBERTY
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State | NC
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Zip | 28310-7324
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Country | US
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Telephone | 910-907-8246
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Fax |
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Provider Business Mailing Address
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Address Line | 3338 CAROLINA WAY
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City | SANFORD
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State | NC
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Zip | 27332-0144
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Country | US
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Telephone | 910-986-0064
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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 | 2021-03380
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License Number State | NC
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