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General NPI Number Information
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NPI Number | 1689173338
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Entity Type | Organization
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Legal Business Name | STAR MARKETING, LLC
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Dates
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Enumeration Date | 02/08/2018
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Last Update Date | 02/08/2018
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Provider Practice Location Address
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Address Line | 801 E BIRCH ST STE 2
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City | CALEXICO
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State | CA
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Zip | 92231-5925
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Country | US
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Telephone | 760-618-9285
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Fax | 760-618-9240
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Provider Business Mailing Address
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Address Line | 251 W MAIN ST STE G
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City | BRAWLEY
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State | CA
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Zip | 92227-2202
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Country | US
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Telephone | 760-351-9415
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Fax | 760-618-9240
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Authorized Official
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Title or Position | DIRECTOR OF ADMINISTRATION
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Name | MR. PHILIP KUBECK
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Credential |
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Telephone | 760-618-9285
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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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