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General NPI Number Information
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NPI Number | 1487780912
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Entity Type | Organization
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Legal Business Name | STARMAN CHIROPRACTIC CENTER, P.C.
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1495 ALPHARETTA HWY SUITE D
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City | ALPHARETTA
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State | GA
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Zip | 30004-2077
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Country | US
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Telephone | 770-521-1114
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Fax | 770-521-1194
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Provider Business Mailing Address
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Address Line | 1495 ALPHARETTA HWY SUITE D
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City | ALPHARETTA
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State | GA
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Zip | 30004-2077
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Country | US
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Telephone | 770-521-1114
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Fax | 770-521-1194
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHANNAN CHRISTINE STARMAN
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Credential | D.C.
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Telephone | 770-521-1114
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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 | 005597
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License Number State | GA
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