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General NPI Number Information
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NPI Number | 1417098468
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Entity Type | Organization
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Legal Business Name | JOEL MICHAEL STARR
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 01/13/2010
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Provider Practice Location Address
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Address Line | 11301 AMHERST AVE #102
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City | SILVER SPRING
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State | MD
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Zip | 20902-4665
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Country | US
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Telephone | 301-933-7827
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Fax | 240-290-0342
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Provider Business Mailing Address
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Address Line | 11301 AMHERST AVE #102
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City | WHEATON
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State | MD
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Zip | 20902-4665
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Country | US
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Telephone | 301-933-7827
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Fax | 240-290-0342
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JOEL STARR
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Credential | DC
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Telephone | 301-933-7827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 01920
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License Number State | MD
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