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General NPI Number Information
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NPI Number | 1356513709
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Entity Type | Individual
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Provider Name | WILLIAM J STARCK DDS
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Gender | Male
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Dates
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Enumeration Date | 03/26/2008
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Last Update Date | 05/06/2016
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Provider Practice Location Address
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Address Line | 3207 N US HIGHWAY 75
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City | SHERMAN
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State | TX
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Zip | 75090-2523
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Country | US
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Telephone | 817-800-9634
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Fax |
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Provider Business Mailing Address
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Address Line | 15305 DALLAS PKWY SUITE 300
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City | ADDISON
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State | TX
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Zip | 75001-4637
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Country | US
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Telephone | 817-800-9634
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Fax |
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 17519
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License Number State | TX
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