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General NPI Number Information
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NPI Number | 1215284989
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Entity Type | Organization
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Legal Business Name | RED STAR HEALTH CARE INC
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Dates
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Enumeration Date | 08/12/2012
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Last Update Date | 08/23/2012
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Provider Practice Location Address
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Address Line | 31149 CHATTERLY DR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-6815
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Country | US
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Telephone | 727-204-7994
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Fax |
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Provider Business Mailing Address
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Address Line | 31149 CHATTERLY DR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-6815
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Country | US
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Telephone | 727-204-7994
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MIGUEL A. ESPINAL
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Credential | MD
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Telephone | 727-204-7994
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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 | ME 89358
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | ME 89358
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License Number State | FL
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