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NPI 1326130881

NPI 1326130881 : JEFFREY T. STARKEY, M.D., INC. : BARBERTON, OH

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General NPI Number Information
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    NPI Number           |    1326130881
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    Entity Type          |    Organization 
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    Legal Business Name  |    JEFFREY T. STARKEY, M.D., INC. 
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Dates
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    Enumeration Date     |    09/29/2006
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    Last Update Date     |    01/27/2009
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Provider Practice Location Address
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    Address Line         |    31 CONSERVATORY DR 
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    City                 |    BARBERTON
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    State                |    OH
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    Zip                  |    44203-4281
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    Country              |    US
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    Telephone            |    330-753-7523
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    Fax                  |    330-753-9162
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Provider Business Mailing Address
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    Address Line         |    31 CONSERVATORY DR 
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    City                 |    BARBERTON
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    State                |    OH
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    Zip                  |    44203-4281
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    Country              |    US
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    Telephone            |    330-753-7523
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    Fax                  |    330-753-9162
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. JEFFREY T. STARKEY 
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    Credential           |    M.D.
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    Telephone            |    330-753-7523
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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       |    35065272
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    License Number State |    OH
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