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General NPI Number Information
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NPI Number | 1386548782
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Entity Type | Organization
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Legal Business Name | STARLEY FAMILY DENTISTRY LLC
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 520 15TH ST
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City | ASTORIA
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State | OR
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Zip | 97103-3813
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Country | US
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Telephone | 503-325-6662
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Fax |
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Provider Business Mailing Address
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Address Line | 520 15TH ST
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City | ASTORIA
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State | OR
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Zip | 97103-3813
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | BRITTANY KELLY
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Credential |
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Telephone | 503-325-6662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State | NULL
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