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General NPI Number Information
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NPI Number | 1356338107
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Entity Type | Individual
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Provider Name | SCOTT MICHAEL STARENCHAK MD
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Gender | Male
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Dates
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Enumeration Date | 10/05/2005
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 1044 N MASON RD DIV IM GENERAL MED, STE 330
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City | SAINT LOUIS
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State | MO
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Zip | 63141-6431
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Country | US
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Telephone | 314-996-8103
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Fax | 314-996-3230
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Provider Business Mailing Address
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Address Line | PO BOX 7412011
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City | CHICAGO
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State | IL
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Zip | 60674-2011
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Country | US
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Telephone | 314-996-8103
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Fax | 314-996-3230
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2021048490
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2021048490
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 2021048490
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License Number State | MO
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