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General NPI Number Information
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NPI Number | 1881038966
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Entity Type | Individual
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Provider Name | SIDNEY JONATHAN STARKMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/19/2013
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Last Update Date | 02/04/2023
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Provider Practice Location Address
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Address Line | 8960 E RAINTREE DR STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-7030
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Country | US
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Telephone | 507-226-2427
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Fax |
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Provider Business Mailing Address
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Address Line | 1237 DELAWARE AVE
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City | BUFFALO
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State | NY
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Zip | 14209-1435
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Country | US
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Telephone |
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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 | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | 55703
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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