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General NPI Number Information
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NPI Number | 1275872863
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Entity Type | Organization
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Legal Business Name | DENICE STARLEY, DO, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 02/03/2013
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Last Update Date | 10/15/2013
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Provider Practice Location Address
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Address Line | 2152 COFFEE RD
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City | BAKERSFIELD
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State | CA
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Zip | 93308-5746
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Country | US
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Telephone | 661-869-2600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10598
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City | BAKERSFIELD
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State | CA
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Zip | 93389-0598
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Country | US
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Telephone | 661-869-2600
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DENICE STARLEY
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Credential | D.O.
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Telephone | 661-869-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 20A11203
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License Number State | CA
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