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General NPI Number Information
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NPI Number | 1609048834
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Entity Type | Organization
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Legal Business Name | STARLING ORTHODONTICS, PLLC
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 03/27/2008
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Provider Practice Location Address
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Address Line | 1177 OLD HICKORY BLVD SUITE 201
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City | BRENTWOOD
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State | TN
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Zip | 37027-4241
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Country | US
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Telephone | 615-507-1660
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Fax | 615-507-1661
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Provider Business Mailing Address
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Address Line | 1177 OLD HICKORY BLVD SUITE 201
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City | BRENTWOOD
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State | TN
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Zip | 37027-4241
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Country | US
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Telephone | 615-507-1660
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Fax | 615-507-1661
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Authorized Official
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Title or Position | MEMBER
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Name | CRAIG M STARLING
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Credential | DDS
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Telephone | 615-507-1660
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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 | 8201
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License Number State | TN
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