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General NPI Number Information
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NPI Number | 1144510652
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Entity Type | Individual
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Provider Name | CHRISTOPHER JENN STARR MD/PHD
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Gender | Male
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Dates
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Enumeration Date | 04/18/2011
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Last Update Date | 10/28/2021
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Provider Practice Location Address
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Address Line | 9333 IMPERIAL HWY KAISER PERMANENTE DOWNEY MED CTR, DEPT OF RADIOLOGY
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City | DOWNEY
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State | CA
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Zip | 90242
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Country | US
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Telephone | 562-657-7254
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Fax |
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Provider Business Mailing Address
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Address Line | 9333 IMPERIAL HWY KAISER PERMANENTE DOWNEY MED CTR, DEPT OF RADIOLOGY
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City | DOWNEY
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State | CA
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Zip | 90242-2812
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Country | US
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Telephone |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A123063
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License Number State | CA
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