MEDICARE: CYNTHIA BECHER STROUT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1744R1102X	Research Study Specialist	SC 16495	SC

General Provider Information

NPI Number	:	1578690194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA BECHER STROUT

Provider Business Mailing Address
First Line	:	1156 BOWMAN RD UNIT 102
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-3803
Country	:	US
Telephone Number	:	843-856-3784
Fax Number	:	843-856-3788

Provider Business Practice Location Address
First Line	:	1156 BOWMAN RD UNIT 102
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-3803
Country	:	US
Telephone Number	:	843-856-3784
Fax Number	:	843-856-3788

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	07/08/2007

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