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General NPI Number Information
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NPI Number | 1891984134
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Entity Type | Individual
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Provider Name | TODD G STRAIN RPH
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Gender | Male
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 602C SOUTH MORGAN ST
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City | GRANBURY
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State | TX
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Zip | 76048-1962
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Country | US
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Telephone | 817-573-2512
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Fax | 817-573-3098
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Provider Business Mailing Address
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Address Line | 411 LAKEVIEW ST
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City | GLEN ROSE
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State | TX
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Zip | 76043-5029
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Country | US
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Telephone | 254-898-1818
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Fax | 254-898-1819
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | 20614
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License Number State | TX
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