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General NPI Number Information
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NPI Number | 1023217676
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Entity Type | Organization
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Legal Business Name | STAR MEDICAL D.M.E
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2305 DENMARK ST
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City | DALLAS
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State | TX
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Zip | 75253-3716
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Country | US
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Telephone | 214-682-2985
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Fax | 972-913-8510
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Provider Business Mailing Address
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Address Line | PO BOX 4058
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City | DALLAS
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State | TX
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Zip | 75208-0058
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Country | US
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Telephone | 214-682-2985
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Fax | 972-913-8510
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Authorized Official
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Title or Position | OWNER
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Name | MS. JAMIE SAMANTHA LARA
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Credential |
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Telephone | 214-228-4390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | TX
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