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General NPI Number Information
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NPI Number | 1356817266
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Entity Type | Organization
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Legal Business Name | STARS PEDIATRIC THERAPY
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Dates
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Enumeration Date | 10/17/2018
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Last Update Date | 03/11/2020
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Provider Practice Location Address
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Address Line | 101 SOUTH VINE STREET SUITE 1
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City | CARMICHAELS
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State | PA
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Zip | 15320-1140
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Country | US
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Telephone | 724-319-2043
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Fax | 724-252-2650
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Provider Business Mailing Address
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Address Line | 101 SOUTH VINE STREET SUITE 1
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City | CARMICHAELS
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State | PA
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Zip | 15320-1140
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Country | US
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Telephone | 724-319-2043
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Fax | 724-252-2650
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Authorized Official
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Title or Position | CO-OWNER
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Name | KRISTIE PEKAR-ROHRER
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Credential |
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Telephone | 724-319-2043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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