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General NPI Number Information
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NPI Number | 1265874978
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Entity Type | Individual
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Provider Name | ANDREW JAMES STARR PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/23/2013
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Last Update Date | 07/23/2013
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Provider Practice Location Address
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Address Line | 5719 N US 23
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City | OSCODA
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State | MI
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Zip | 48750-8721
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Country | US
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Telephone | 989-739-1485
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Fax |
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Provider Business Mailing Address
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Address Line | 4310 N US 23 UNIT 902
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City | OSCODA
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State | MI
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Zip | 48750-8837
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Country | US
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Telephone | 906-282-7461
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302039393
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License Number State | MI
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