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General NPI Number Information
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NPI Number | 1366305963
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Entity Type | Organization
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Legal Business Name | STAR RADIOLOGY, LLC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 5102 W HOMER AVE
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City | TAMPA
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State | FL
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Zip | 33629-7523
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Country | US
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Telephone | 813-609-2579
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 340426
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City | TAMPA
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State | FL
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Zip | 33694-0426
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Country | US
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Telephone | 813-609-2579
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DARREN BUONO
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Credential | MD
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Telephone | 858-232-4532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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