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General NPI Number Information
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NPI Number | 1700802089
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Entity Type | Individual
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Provider Name | DENNIS LEE STARKEY DDS
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6126 PRESTLEY MILL RD SUITE J
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-5623
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Country | US
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Telephone | 770-489-1450
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Fax | 770-489-0636
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Provider Business Mailing Address
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Address Line | 310 ROBBINS CREEK TRL SW
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City | CALHOUN
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State | GA
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Zip | 30701-3283
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Country | US
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Telephone | 706-602-0755
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 11057
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License Number State | GA
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