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General NPI Number Information
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NPI Number | 1730144338
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Entity Type | Organization
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Legal Business Name | ZOHAR STARK MD PC
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 07/09/2010
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Provider Practice Location Address
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Address Line | 261 OLD YORK RD THE PAVILIONS, SUITE 304
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City | JENKINTOWN
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State | PA
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Zip | 19046-3706
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Country | US
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Telephone | 215-884-0313
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Fax | 856-435-4363
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Provider Business Mailing Address
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Address Line | 703 WHITE HORSE RD STE 4
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City | VOORHEES
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State | NJ
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Zip | 08043-2495
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Country | US
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Telephone | 856-346-8686
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Fax | 856-435-4363
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Authorized Official
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Title or Position | PRESIDENT
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Name | ZOHAR STARK
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Credential | MD
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Telephone | 856-346-8686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 46258
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD033566E
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License Number State | PA
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