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General NPI Number Information
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NPI Number | 1629954409
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Entity Type | Organization
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Legal Business Name | RISING STAR THERAPIES LLC
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 1299 FARNAM ST STE 300
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City | OMAHA
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State | NE
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Zip | 68102-1857
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Country | US
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Telephone | 955-493-2595
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Fax |
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Provider Business Mailing Address
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Address Line | 1661 CHARLEVOIS DR
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City | TROY
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State | MI
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Zip | 48085-5094
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Country | US
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Telephone | 954-932-5958
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MASSIMO ZERILLI
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Credential |
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Telephone | 954-932-5958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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