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NPI 1013305945

NPI 1013305945 : NORTH STAR CN, LP : CARROLLTON, TX

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General NPI Number Information
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    NPI Number           |    1013305945
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    Entity Type          |    Organization 
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    Legal Business Name  |    NORTH STAR CN, LP 
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Dates
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    Enumeration Date     |    12/30/2014
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    Last Update Date     |    01/24/2023
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Provider Practice Location Address
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    Address Line         |    4780 N JOSEY LN 
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    City                 |    CARROLLTON
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    State                |    TX
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    Zip                  |    75010-4615
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    Country              |    US
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    Telephone            |    972-492-1334
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7600 WINDROSE AVE STE G325 
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75024-0108
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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    |    MANAGER
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    Name                 |     DAVID  WRIGHT 
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    Credential           |    
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    Telephone            |    972-954-8001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR0200X
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    Taxonomy Name        |    Radiology Clinic/Center
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    License Number       |    
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    License Number State |    
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