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General NPI Number Information
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NPI Number | 1073592093
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Entity Type | Individual
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Provider Name | WILLIAM JOSEPH STARSIAK JR. DDS
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Gender | Male
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Dates
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Enumeration Date | 01/10/2006
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Last Update Date | 07/19/2007
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Provider Practice Location Address
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Address Line | 6000 W HIGHWAY 98
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City | PENSACOLA
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State | FL
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Zip | 32512-0001
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Country | US
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Telephone | 850-505-6853
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Fax | 850-505-6066
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Provider Business Mailing Address
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Address Line | 6000 W HWY 98
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City | PENSACOLA
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State | FL
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Zip | 32512-0003
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Country | US
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Telephone | 850-505-6853
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Fax | 850-505-6066
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 19014689
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License Number State | IL
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