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General NPI Number Information
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NPI Number | 1952574915
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Entity Type | Organization
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Legal Business Name | EDWARD J STRAUSS D.O., P.C.
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Dates
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Enumeration Date | 04/10/2008
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Last Update Date | 04/09/2015
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Provider Practice Location Address
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Address Line | 7604 CENTRAL AVE SUITE 102
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City | PHILADELPHIA
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State | PA
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Zip | 19111-2433
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Country | US
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Telephone | 215-728-6500
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Fax | 215-728-6502
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Provider Business Mailing Address
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Address Line | 7604 CENTRAL AVE SUITE 102
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City | PHILADELPHIA
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State | PA
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Zip | 19111-2433
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Country | US
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Telephone | 215-728-6500
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Fax | 610-941-6412
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWARD J STRAUSS
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Credential | D.O.
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Telephone | 215-728-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | OS004043L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS004043L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number | OS004043L
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License Number State | PA
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