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General NPI Number Information
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NPI Number | 1255307674
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Entity Type | Organization
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Legal Business Name | ALLSTAR HEALTHCARE, INC
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Dates
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Enumeration Date | 02/25/2006
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Last Update Date | 12/09/2008
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Provider Practice Location Address
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Address Line | 1100 W PIONEER PKWY
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City | ARLINGTON
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State | TX
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Zip | 76013-6367
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Country | US
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Telephone | 817-461-3341
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Fax | 817-795-7074
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Provider Business Mailing Address
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Address Line | 1100 W PIONEER PKWY
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City | ARLINGTON
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State | TX
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Zip | 76013-6367
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Country | US
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Telephone | 817-461-3341
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Fax | 817-795-7074
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Authorized Official
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Title or Position | CEO
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Name | MR. THEAN LYE KOAY
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Credential | RN
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Telephone | 817-461-3341
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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 | 007345
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License Number State | TX
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