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General NPI Number Information
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NPI Number | 1366351132
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Entity Type | Organization
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Legal Business Name | SOUTHSTAR CLINICAL
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Dates
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Enumeration Date | 09/05/2026
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Last Update Date | 09/05/2026
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Provider Practice Location Address
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Address Line | 2401 FOUNTAIN VIEW DR STE 830
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City | HOUSTON
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State | TX
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Zip | 77057-4854
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Country | US
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Telephone | 305-647-8360
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Fax |
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Provider Business Mailing Address
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Address Line | 3440 NE 192ND ST APT 1N
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City | MIAMI
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State | FL
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Zip | 33180-2422
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Country | US
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Telephone | 305-647-8360
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | KARLA NARVAEZ
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Credential | DO
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Telephone | 305-343-2596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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