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General NPI Number Information
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NPI Number | 1265768030
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Entity Type | Individual
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Provider Name | HENRY HOLLINGSWORTH STARTZMAN III M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/28/2009
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Last Update Date | 10/28/2009
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Provider Practice Location Address
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Address Line | 5600 FISHERS LN RM 6A-55
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City | ROCKVILLE
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State | MD
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Zip | 20852-1750
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Country | US
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Telephone | 301-827-0985
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Fax | 301-827-0017
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Provider Business Mailing Address
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Address Line | 8 WINEBERRY CT
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City | GLEN ARM
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State | MD
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Zip | 21057-9139
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Country | US
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Telephone | 410-661-2949
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | D0026973
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License Number State | MD
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