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General NPI Number Information
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NPI Number | 1124992037
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Entity Type | Organization
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Legal Business Name | STARFISH STORIES INC
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 1224 W 40TH PLACE
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City | LOS ANGLES
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State | CA
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Zip | 90037
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Country | US
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Telephone | 323-293-1111
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Fax | 866-639-1851
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Provider Business Mailing Address
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Address Line | P.O. BOX 7190
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City | LOS ANGELES
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State | CA
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Zip | 90007
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Country | US
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Telephone | 323-293-1111
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Fax | 866-639-1851
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR/CEO
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Name | TERESA LOPEZ-DELLAMARY GROTH
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Credential |
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Telephone | 323-293-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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