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General NPI Number Information
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NPI Number | 1679948038
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Entity Type | Organization
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Legal Business Name | STAR TRANSPORTATION INC
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Dates
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Enumeration Date | 12/09/2015
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Last Update Date | 12/09/2015
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Provider Practice Location Address
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Address Line | 8043 LARKIN RD
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City | WOLCOTT
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State | NY
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Zip | 14590-9752
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Country | US
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Telephone | 315-412-4594
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Fax | 315-594-2176
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Provider Business Mailing Address
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Address Line | 8043 LARKIN RD
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City | WOLCOTT
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State | NY
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Zip | 14590-9752
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Country | US
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Telephone | 315-412-4594
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Fax | 315-594-2176
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRANDON ANTHONY CASTERLIN
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Credential |
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Telephone | 315-412-4594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State | NY
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