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General NPI Number Information
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NPI Number | 1649435595
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Entity Type | Organization
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Legal Business Name | SILVER STAR HEALTH & REHAB INC.
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Dates
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Enumeration Date | 07/21/2008
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Last Update Date | 07/21/2008
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Provider Practice Location Address
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Address Line | 5026 SILVER STAR RD
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City | ORLANDO
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State | FL
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Zip | 32808-4545
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Country | US
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Telephone | 407-656-4615
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Fax | 407-656-4686
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Provider Business Mailing Address
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Address Line | 5026 SILVER STAR ROAD
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City | ORLANDO
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State | FL
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Zip | 32808
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Country | US
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Telephone | 407-656-4615
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Fax | 407-656-4686
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Authorized Official
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Title or Position | MANAGER
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Name | MR. MARC-ARTHUR MAXIS
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Credential |
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Telephone | 407-656-4615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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