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General NPI Number Information
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NPI Number | 1417179292
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Entity Type | Organization
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Legal Business Name | STAR HOSPICE, LLC
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 620 N GRANT AVE STE 100
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City | ODESSA
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State | TX
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Zip | 79761-4564
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Country | US
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Telephone | 432-580-7707
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Fax | 432-580-7937
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Provider Business Mailing Address
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Address Line | 620 N GRANT AVE STE 100
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City | ODESSA
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State | TX
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Zip | 79761-4564
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | HUMAN RESOURCES MANAGER
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Name | ELIZABETH RUBIO
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Credential |
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Telephone | 432-580-7707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 7430
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License Number State | TX
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