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General NPI Number Information
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NPI Number | 1275665473
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Entity Type | Organization
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Legal Business Name | RICHARD FREDRICK STARKEY MD
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 03/28/2014
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Provider Practice Location Address
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Address Line | 806 NORTH 6TH EAST
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City | MOUNTAIN HOME
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State | ID
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Zip | 83647-0427
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Country | US
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Telephone | 208-587-9736
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Fax | 208-587-7905
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Provider Business Mailing Address
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Address Line | 805 N 6TH E PO BOX 427
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City | MOUNTAIN HOME
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State | ID
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Zip | 83647-2207
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Country | US
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Telephone | 208-587-9736
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Fax | 208-587-7905
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD FREDERICK STARKEY
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Credential | MD
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Telephone | 208-587-9736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP382A
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License Number State | ID
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