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General NPI Number Information
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NPI Number | 1477852994
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Entity Type | Organization
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Legal Business Name | JAMES W STARLEY MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 03/23/2011
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Last Update Date | 03/23/2011
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Provider Practice Location Address
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Address Line | 425 E 5350 S 425
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City | OGDEN
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State | UT
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Zip | 84405-6946
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Country | US
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Telephone | 801-479-1641
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Fax | 801-476-8538
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Provider Business Mailing Address
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Address Line | 425 E 5350 S 425
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City | OGDEN
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State | UT
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Zip | 84405-6946
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Country | US
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Telephone | 801-479-1641
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Fax | 801-476-8538
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES W STARLEY
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Credential | MD
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Telephone | 801-479-1641
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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 | 1558051205
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License Number State | UT
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