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General NPI Number Information
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NPI Number | 1205981669
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Entity Type | Organization
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Legal Business Name | STAR HOME HEALTH RESOURCES, INC.
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 05/11/2012
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Provider Practice Location Address
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Address Line | 1768 ARROW HWY SUITE 105
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City | LA VERNE
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State | CA
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Zip | 91750-5332
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Country | US
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Telephone | 909-593-7001
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Fax | 909-593-7005
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Provider Business Mailing Address
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Address Line | 1768 ARROW HWY. SUITE 105
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City | LA VERNE
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State | CA
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Zip | 91750-5332
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Country | US
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Telephone | 909-593-7001
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Fax | 909-593-7005
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | MR. ERROL G. LAT
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Credential |
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Telephone | 909-593-7001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 980001081
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License Number State | CA
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