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General NPI Number Information
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NPI Number | 1477395937
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Entity Type | Organization
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Legal Business Name | STARLIGHT HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 2300 PALM BEACH LAKES BLVD STE G
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-3303
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Country | US
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Telephone | 561-843-8950
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 PALM BEACH LAKES BLVD STE G
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-3303
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Country | US
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Telephone | 561-843-8950
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PATRICIA RANDALL
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Credential |
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Telephone | 561-843-8950
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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 |
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Taxonomy #2
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities 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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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