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General NPI Number Information
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NPI Number | 1124660634
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Entity Type | Organization
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Legal Business Name | FIVE STAR CARE INC.
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Dates
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Enumeration Date | 10/16/2019
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 14405 FM 2100 RD STE C
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City | CROSBY
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State | TX
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Zip | 77532-6586
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Country | US
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Telephone | 281-462-4480
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Fax | 281-328-7777
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Provider Business Mailing Address
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Address Line | 14405 FM 2100 RD STE C
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City | CROSBY
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State | TX
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Zip | 77532-6586
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Country | US
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Telephone | 281-462-4480
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Fax | 281-328-7777
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Authorized Official
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Title or Position | MANAGER
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Name | GHADA REDWAN
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Credential |
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Telephone | 936-681-8335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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