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General NPI Number Information
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NPI Number | 1154018950
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Entity Type | Organization
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Legal Business Name | STARR'S GALEXY
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Dates
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Enumeration Date | 04/20/2023
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Last Update Date | 04/25/2023
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Provider Practice Location Address
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Address Line | 25435 NORTHPARK LAKE DR
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City | PORTER
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State | TX
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Zip | 77365-7441
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Country | US
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Telephone | 346-423-8447
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 62315
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City | HOUSTON
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State | TX
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Zip | 77205-2315
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Country | US
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Telephone | 469-412-5808
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Fax |
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Authorized Official
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Title or Position | SOLE MBR
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Name | MS. APRIL GIPSON
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Credential |
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Telephone | 346-423-8447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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