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Individual
PAUL HUNTER STARK
Active
Individual
PAUL HUNTER STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26714
FL
225100000X
Physical Therapist
PT293314
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013483
—
MS
01
—
P0036427
MEDICARE RR
MS
Enumeration date
09/27/2006
Last updated
07/21/2022
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