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General NPI Number Information
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NPI Number | 1235046582
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Entity Type | Organization
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Legal Business Name | STARLIGHT OSTEOPATHY PLLC
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 15 8TH AVE N
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City | HOPKINS
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State | MN
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Zip | 55343-7611
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Country | US
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Telephone | 802-258-0198
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Fax |
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Provider Business Mailing Address
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Address Line | 3436 PILLSBURY AVE S APT 2
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City | MINNEAPOLIS
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State | MN
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Zip | 55408-4397
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Country | US
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Telephone | 802-258-0198
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. CRAIG E GOLDBERG
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Credential | DO
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Telephone | 802-258-0198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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