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General NPI Number Information
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NPI Number | 1285733790
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Entity Type | Organization
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Legal Business Name | STARKE HMA, LLC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 01/08/2018
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Provider Practice Location Address
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Address Line | 922 E CALL ST
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City | STARKE
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State | FL
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Zip | 32091-3616
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Country | US
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Telephone | 904-386-2300
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Fax | 352-733-0069
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Provider Business Mailing Address
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Address Line | 922 E CALL ST
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City | STARKE
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State | FL
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Zip | 32091-3616
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Country | US
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Telephone | 904-368-2300
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Fax | 352-733-0069
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Authorized Official
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Title or Position | DIRECTOR/DELEGATED OFFICIAL
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Name | PAULA LALOR
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Credential |
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Telephone | 615-925-4565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 4267
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License Number State | FL
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