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General NPI Number Information
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NPI Number | 1033299748
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Entity Type | Organization
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Legal Business Name | HEALTHSTAR MEDICAL SERVICES PLLC
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 12/07/2009
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Provider Practice Location Address
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Address Line | 10331 AUTUMN BRZ DR #202
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-7251
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Country | US
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Telephone | 239-961-5906
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7518
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City | FORT MYERS
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State | FL
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Zip | 33911-7518
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Country | US
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Telephone | 239-931-7262
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Fax | 239-931-7397
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Authorized Official
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Title or Position | OWNER
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Name | DR. BONNIE M RASHID
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Credential | MD
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Telephone | 239-961-5906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME91484
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License Number State | FL
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