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General NPI Number Information
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NPI Number | 1285022616
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Entity Type | Organization
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Legal Business Name | ALL-STAR FAMILY PROVIDERS LLC
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Dates
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Enumeration Date | 01/08/2015
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Last Update Date | 01/08/2015
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Provider Practice Location Address
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Address Line | 105 MYERS LN
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City | NEW CASTLE
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State | PA
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Zip | 16102-3523
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Country | US
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Telephone | 724-667-7969
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Fax |
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Provider Business Mailing Address
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Address Line | 105 MYERS LN
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City | NEW CASTLE
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State | PA
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Zip | 16102-3523
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Country | US
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Telephone | 724-667-7969
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | APRIL PITZER
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Credential |
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Telephone | 727-667-7969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 43115391
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License Number State | PA
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