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General NPI Number Information
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NPI Number | 1720345978
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Entity Type | Organization
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Legal Business Name | MARIE STAR HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 04/12/2012
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 2333 SAN RAMON VALLEY BLVD STE 120
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City | SAN RAMON
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State | CA
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Zip | 94583-1763
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Country | US
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Telephone | 925-691-4981
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Fax | 925-691-4929
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Provider Business Mailing Address
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Address Line | 2333 SAN RAMON VALLEY BLVD STE 120
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City | SAN RAMON
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State | CA
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Zip | 94583-1763
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Country | US
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Telephone | 925-691-4981
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Fax | 925-691-4929
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Authorized Official
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Title or Position | OWNER
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Name | TEJAS KOTECHA
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Credential |
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Telephone | 408-547-7296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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