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General NPI Number Information
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NPI Number | 1306043013
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Entity Type | Organization
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Legal Business Name | ALPHA STAR HOME HEALTH INCORPORATION
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 900 KAREN AVE SUITE C-218
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City | LAS VEGAS
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State | NV
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Zip | 89109-1264
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Country | US
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Telephone | 702-597-3900
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Fax | 702-597-3089
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Provider Business Mailing Address
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Address Line | 900 KAREN AVE SUITE C-218
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City | LAS VEGAS
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State | NV
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Zip | 89109-1264
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Country | US
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Telephone | 702-597-3900
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Fax | 702-597-3089
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MISS ROWENA MARFORI
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Credential |
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Telephone | 702-597-3900
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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 | 4727HHA-0
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License Number State | NV
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