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General NPI Number Information
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NPI Number | 1124041462
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Entity Type | Organization
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Legal Business Name | ALLSTAR PARTNERS LP
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 04/02/2015
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Provider Practice Location Address
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Address Line | 1101 PECAN ST W STE 8
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-2607
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Country | US
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Telephone | 512-251-5977
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Fax | 512-251-6017
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Provider Business Mailing Address
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Address Line | 1101 PECAN ST W STE 8
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-2607
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Country | US
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Telephone | 512-251-5977
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Fax | 512-251-6017
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. JUSTIN YULE
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Credential |
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Telephone | 512-458-4589
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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 |
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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