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General NPI Number Information
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NPI Number | 1699411306
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Entity Type | Organization
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Legal Business Name | HEALTH STAR SYSTEMS, LLC
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Dates
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Enumeration Date | 05/06/2022
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Last Update Date | 05/06/2022
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Provider Practice Location Address
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Address Line | 2921 BROWN TRL STE 135
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City | BEDFORD
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State | TX
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Zip | 76021-4185
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Country | US
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Telephone | 817-903-3858
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Fax |
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Provider Business Mailing Address
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Address Line | 7309 MEADOWBROOK DR
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76182-6117
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Country | US
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Telephone | 817-903-3858
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | STEVE RAY ROSENBAUM
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Credential |
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Telephone | 817-903-3858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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