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General NPI Number Information
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NPI Number | 1649507591
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Entity Type | Organization
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Legal Business Name | STAR THERAPY, INC.
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Dates
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Enumeration Date | 11/13/2009
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Last Update Date | 11/20/2012
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Provider Practice Location Address
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Address Line | 1265 W FRONTIER ST
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City | APACHE JUNCTION
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State | AZ
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Zip | 85120-9084
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Country | US
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Telephone | 480-773-5383
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Fax | 480-209-1494
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Provider Business Mailing Address
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Address Line | 1265 W FRONTIER ST
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City | APACHE JUNCTION
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State | AZ
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Zip | 85120-9084
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Country | US
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Telephone | 480-773-5383
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Fax | 480-209-1494
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MS. RITA TROXTEL
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Credential | OTD
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Telephone | 480-773-5383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 3295
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License Number State | AZ
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