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General NPI Number Information
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NPI Number | 1184315822
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Entity Type | Organization
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Legal Business Name | STARLITE TO HOPE
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Dates
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Enumeration Date | 05/15/2023
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 1015 S 43RD ST
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City | LOUISVILLE
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State | KY
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Zip | 40211-2623
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Country | US
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Telephone | 502-601-1245
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Fax |
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Provider Business Mailing Address
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Address Line | 5223 DIXIE HWY STE 100
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City | LOUISVILLE
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State | KY
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Zip | 40216-1758
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Country | US
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Telephone | 502-601-1245
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Fax | 502-618-0262
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Authorized Official
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Title or Position | OWNER
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Name | STARISHA CURRY
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Credential |
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Telephone | 502-601-1245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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