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General NPI Number Information
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NPI Number | 1386287878
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Entity Type | Organization
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Legal Business Name | STARLIGHT THERAPY CENTER INC
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Dates
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Enumeration Date | 10/28/2019
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 26940 BASELINE ST STE 106
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City | HIGHLAND
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State | CA
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Zip | 92346-3182
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Country | US
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Telephone | 909-566-3358
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Fax | 909-757-6400
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Provider Business Mailing Address
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Address Line | 26940 BASELINE ST STE 106
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City | HIGHLAND
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State | CA
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Zip | 92346-3182
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Country | US
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Telephone | 909-566-3358
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Fax | 909-757-6400
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Authorized Official
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Title or Position | CEO
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Name | ERIC A HEINZ
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Credential |
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Telephone | 909-566-3358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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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