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General NPI Number Information
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NPI Number | 1407109747
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Entity Type | Organization
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Legal Business Name | 5 STAR QUALITY HOME CARE LLC
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Dates
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Enumeration Date | 10/24/2012
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Last Update Date | 04/10/2014
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Provider Practice Location Address
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Address Line | 105 N BENGE ST
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City | MCKINNEY
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State | TX
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Zip | 75069-4401
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Country | US
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Telephone | 469-667-5538
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Fax |
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Provider Business Mailing Address
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Address Line | 105 N BENGE ST
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City | MCKINNEY
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State | TX
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Zip | 75069-4401
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Country | US
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Telephone | 469-667-5538
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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 | HOWARD S SIEGEL
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Credential |
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Telephone | 561-262-0269
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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 | TX
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