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General NPI Number Information
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NPI Number | 1255829826
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Entity Type | Individual
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Provider Name | JOSEPH STARRS PA-C
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Gender | Male
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Dates
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Enumeration Date | 04/28/2018
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 8517 W OVERLAND RD
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City | BOISE
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State | ID
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Zip | 83709-1644
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Country | US
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Telephone | 208-367-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 5859 N 1740 W
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City | ST GEORGE
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State | UT
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Zip | 84770-5986
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Country | US
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Telephone | 82-540-8402
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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