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General NPI Number Information
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NPI Number | 1639623051
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Entity Type | Individual
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Provider Name | DANIELLE STARR PT
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Gender | Female
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Dates
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Enumeration Date | 08/15/2016
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Last Update Date | 12/17/2018
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Provider Practice Location Address
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Address Line | 555 W WACKERLY ST STE 2600
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City | MIDLAND
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State | MI
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Zip | 48640-4722
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Country | US
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Telephone | 989-839-4570
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Fax | 866-245-8064
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Provider Business Mailing Address
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Address Line | 1686 EISENHOWER RD
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City | DE PERE
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State | WI
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Zip | 54115-8145
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Country | US
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Telephone | 920-496-4700
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501017826
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License Number State | MI
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