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General NPI Number Information
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NPI Number | 1952452419
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Entity Type | Organization
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Legal Business Name | J. GARLAND STROUP, M. D. P. C.
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5900 COYLE AVE
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City | CARMICHAEL
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State | CA
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Zip | 95608-0429
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Country | US
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Telephone | 916-344-1414
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Fax | 916-348-6592
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Provider Business Mailing Address
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Address Line | 5900 COYLE AVE
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City | CARMICHAEL
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State | CA
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Zip | 95608-0429
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Country | US
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Telephone | 916-344-1414
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Fax | 916-348-6592
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH GARLAND STROUP
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Credential | M. D.
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Telephone | 916-344-1414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | C22524
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License Number State | CA
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