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General NPI Number Information
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NPI Number | 1518339910
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Entity Type | Organization
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Legal Business Name | UNISTAR HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 10/24/2015
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Last Update Date | 09/23/2016
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Provider Practice Location Address
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Address Line | 5 E MAIN ST
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City | BELLVILLE
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State | TX
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Zip | 77418-1521
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Country | US
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Telephone | 713-732-7395
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Fax | 713-583-5660
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Provider Business Mailing Address
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Address Line | 8403 BRIGHTON LAKE LN
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City | HOUSTON
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State | TX
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Zip | 77095-4761
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Country | US
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Telephone | 713-732-7395
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Fax | 713-583-5660
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Authorized Official
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Title or Position | DON/ADMINISTRATOR
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Name | TABITHA OMONDI
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Credential | RN
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Telephone | 713-732-7395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 017110
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 017110
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License Number State | TX
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