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General NPI Number Information
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NPI Number | 1306143094
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Entity Type | Organization
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Legal Business Name | STAR MEDICAL EQUIPMENT, LLC
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Dates
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Enumeration Date | 02/16/2011
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Last Update Date | 02/16/2011
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Provider Practice Location Address
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Address Line | 101 E 8TH AVE SUITE 103
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428-1779
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Country | US
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Telephone | 800-606-6796
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Fax | 484-949-2831
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Provider Business Mailing Address
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Address Line | 101 E 8TH AVE SUITE 103
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428-1779
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Country | US
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Telephone | 800-606-6796
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Fax | 484-949-2831
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. ROBERT J TRUITT JR.
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Credential |
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Telephone | 800-606-6796
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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 |
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License Number State |
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