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General NPI Number Information
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NPI Number | 1225548498
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Entity Type | Organization
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Legal Business Name | HERBERT A. STARLIN, O D A NEVADA PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/02/2017
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 7324 W CHEYENNE AVE STE 1
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City | LAS VEGAS
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State | NV
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Zip | 89129-7426
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Country | US
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Telephone | 702-259-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 7324 W CHEYENNE AVE STE 1
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City | LAS VEGAS
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State | NV
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Zip | 89129-7426
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Country | US
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Telephone | 702-259-3937
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. HERBERT ALAN STARLIN
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Credential | OD
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Telephone | 702-259-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 258
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License Number State | NV
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