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NPI 1467258657

NPI 1467258657 : START CORPORATION : COVINGTON, LA

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General NPI Number Information
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    NPI Number           |    1467258657
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    Entity Type          |    Organization 
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    Legal Business Name  |    START CORPORATION 
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Dates
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    Enumeration Date     |    02/20/2025
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    Last Update Date     |    04/23/2025
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Provider Practice Location Address
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    Address Line         |    1505 N FLORIDA ST STE 139 
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    City                 |    COVINGTON
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    State                |    LA
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    Zip                  |    70433-1544
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    Country              |    US
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    Telephone            |    985-276-9919
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    Fax                  |    985-267-0127
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Provider Business Mailing Address
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    Address Line         |    1620 W NORTHWEST HWY STE 100 
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    City                 |    GRAPEVINE
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    State                |    TX
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    Zip                  |    76051-3219
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    Country              |    US
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    Telephone            |    817-913-7247
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VP OF COMPLIANCE
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    Name                 |     CATHERINE  FELARISE 
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    Credential           |    
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    Telephone            |    985-333-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    
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    License Number State |    
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