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General NPI Number Information
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NPI Number | 1548669724
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Entity Type | Individual
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Provider Name | PATRICIA C STARR MSN, AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 08/14/2014
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Provider Practice Location Address
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Address Line | 725 AMERICAN AVE SUITE 508 PROFESSIONAL OFFICE BUILDING
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City | WAUKESHA
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State | WI
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Zip | 53188-5031
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Country | US
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Telephone | 262-928-7967
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Fax |
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Provider Business Mailing Address
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Address Line | 3801 S 97TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53228-1422
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Country | US
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Telephone | 414-614-2575
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 89028-30
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 89028
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License Number State | WI
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