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General NPI Number Information
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NPI Number | 1962988980
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Entity Type | Individual
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Provider Name | GARTH WILLIAM STROBEL DC
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Gender | Male
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Dates
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Enumeration Date | 07/12/2018
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Last Update Date | 10/28/2022
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Provider Practice Location Address
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Address Line | 4461 WHITE BEAR PKWY # 2
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City | WHITE BEAR LAKE
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State | MN
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Zip | 55110-7626
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Country | US
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Telephone | 651-348-8851
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Fax |
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Provider Business Mailing Address
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Address Line | 714 GERANIUM AVE E
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City | SAINT PAUL
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State | MN
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Zip | 55106-2521
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Country | US
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Telephone | 507-279-8640
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 6484
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License Number State | MN
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