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General NPI Number Information
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NPI Number | 1760661938
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Entity Type | Organization
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Legal Business Name | STARKE FAMILY MEDICINE CLINIC 01 INC
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 1546 S WATER ST
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City | STARKE
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State | FL
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Zip | 32091-4511
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Country | US
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Telephone | 904-964-1888
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Fax | 904-964-1884
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Provider Business Mailing Address
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Address Line | 1546 S WATER ST
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City | STARKE
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State | FL
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Zip | 32091-4511
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Country | US
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Telephone | 904-964-1888
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Fax | 904-964-1884
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Authorized Official
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Title or Position | PRESIDENT
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Name | NATALIA A SHIRIAEVA
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Credential | MD
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Telephone | 904-964-1888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME0081878
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License Number State | FL
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