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General NPI Number Information
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NPI Number | 1679833644
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Entity Type | Organization
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Legal Business Name | STARSTONE MEDICAL LLC
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Dates
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Enumeration Date | 05/23/2012
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Last Update Date | 05/23/2012
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Provider Practice Location Address
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Address Line | 3145 MAIN ST. 235-157
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City | FRISCO
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State | TX
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Zip | 75034
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Country | US
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Telephone | 214-727-8341
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Fax | 214-383-9655
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Provider Business Mailing Address
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Address Line | 3145 MAIN ST. 235-157
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City | FRISCO
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State | TX
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Zip | 75034
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Country | US
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Telephone | 214-727-8341
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Fax | 214-383-9655
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Authorized Official
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Title or Position | OWNER / MEMBER
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Name | BRIAN FERAGOTTI
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Credential |
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Telephone | 214-727-8341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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