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General NPI Number Information
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NPI Number | 1184057309
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Entity Type | Organization
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Legal Business Name | STAR MEDICAL CENTER, LLC
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Dates
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Enumeration Date | 08/12/2013
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 4100 MAPLESHADE LANE
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City | PLANO
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State | TX
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Zip | 75093
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Country | US
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Telephone | 972-265-1050
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Fax | 972-265-1252
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Provider Business Mailing Address
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Address Line | 4100 MAPLESHADE LN
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City | PLANO
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State | TX
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Zip | 75093-0012
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Country | US
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Telephone | 817-421-1066
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Fax | 817-507-1800
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | JORDAN FOWLER
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Credential |
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Telephone | 817-421-1066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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