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General NPI Number Information
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NPI Number | 1154113777
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Entity Type | Individual
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Provider Name | ALLYSON ROSE STARMAN MS LCGC
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Gender | Female
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 751 S BASCOM AVE STE 210
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City | SAN JOSE
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State | CA
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Zip | 95128-2699
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Country | US
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Telephone | 408-793-2500
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Fax | 408-885-3225
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Provider Business Mailing Address
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Address Line | 84 BENTLEY AVE
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City | LOS GATOS
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State | CA
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Zip | 95030-6003
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Country | US
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Telephone | 805-423-5235
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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 | 261QG0250X
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Taxonomy Name | Genetics Clinic/Center
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License Number | GC000539
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License Number State | CA
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