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General NPI Number Information
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NPI Number | 1700808755
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Entity Type | Organization
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Legal Business Name | NORTHSTAR PARTNERING GROUP, LLC
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2458 E JOYCE BLVD SUITE 1
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-4519
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Country | US
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Telephone | 479-251-7827
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Fax | 479-251-8522
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Provider Business Mailing Address
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Address Line | 2458 E JOYCE BLVD SUITE 1
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-4519
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Country | US
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Telephone | 479-251-7827
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Fax | 479-251-8522
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Authorized Official
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Title or Position | CO-FOUNDER, PARTNER
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Name | MR. HENRY HO
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Credential | N/A
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Telephone | 479-251-7827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | N/A
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License Number State | AR
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