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General NPI Number Information
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NPI Number | 1629423611
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Entity Type | Organization
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Legal Business Name | STAR HOME CARE AND COMPANION SERVICES INC
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Dates
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Enumeration Date | 04/27/2016
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Last Update Date | 04/27/2016
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Provider Practice Location Address
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Address Line | 4100 CORPORATE SQ SUITE 151
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City | NAPLES
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State | FL
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Zip | 34104-4714
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Country | US
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Telephone | 239-331-8690
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Fax | 239-643-6628
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Provider Business Mailing Address
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Address Line | 4100 CORPORATE SQ SUITE 151
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City | NAPLES
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State | FL
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Zip | 34104-4714
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Country | US
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Telephone | 239-331-8690
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Fax | 239-643-6628
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. YUDERCA M BARBERA
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Credential |
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Telephone | 239-331-8690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 232681
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License Number State | FL
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