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General NPI Number Information
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NPI Number | 1891917696
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Entity Type | Organization
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Legal Business Name | THEODORE M. STRAUSS, D.D.S., P.A.
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 511 NE 20TH ST
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City | BOCA RATON
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State | FL
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Zip | 33431-8141
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Country | US
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Telephone | 561-395-4727
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Fax | 561-395-7277
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Provider Business Mailing Address
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Address Line | 511 NE 20TH ST
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City | BOCA RATON
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State | FL
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Zip | 33431-8141
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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 | PRESIDENT
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Name | DR. THEODORE M. STRAUSS
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Credential | D.D.S.
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Telephone | 561-395-4727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN6162
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License Number State | FL
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