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General NPI Number Information
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NPI Number | 1568281954
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Entity Type | Organization
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Legal Business Name | STAR WEIGHTLOSS AND WELLNESS PLLC
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Dates
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Enumeration Date | 10/03/2024
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 20770 US HIGHWAY 281 N STE 108-143
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City | SAN ANTONIO
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State | TX
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Zip | 78258-7655
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Country | US
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Telephone | 210-880-4479
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Fax |
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Provider Business Mailing Address
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Address Line | 20770 US HIGHWAY 281 N STE 108-143
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City | SAN ANTONIO
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State | TX
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Zip | 78258-7655
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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 | PARTNER
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Name | DR. NWANDO OKAFOR
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Credential | MD
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Telephone | 210-880-4479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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