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General NPI Number Information
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NPI Number | 1740738715
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Entity Type | Organization
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Legal Business Name | STARR INPATIENT MEDICAL SERVICES
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Dates
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Enumeration Date | 09/19/2016
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Last Update Date | 10/14/2016
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Provider Practice Location Address
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Address Line | 335 BRIDGE ST NW SUITE 2704
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City | GRAND RAPIDS
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State | MI
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Zip | 49504-8702
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Country | US
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Telephone | 616-690-0921
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Fax |
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Provider Business Mailing Address
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Address Line | 335 BRIDGE ST NW SUITE 2704
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City | GRAND RAPIDS
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State | MI
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Zip | 49504-8702
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Country | US
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Telephone | 616-690-0921
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DR. JAMES STARR
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Credential | D.O.
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Telephone | 313-319-0273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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