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General NPI Number Information
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NPI Number | 1730231978
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Entity Type | Organization
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Legal Business Name | STAR MEDICAL EQUIPMENT, INC.
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 10/22/2009
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Provider Practice Location Address
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Address Line | 516 ASH ST
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City | PLAINVIEW
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State | TX
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Zip | 79072-8018
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Country | US
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Telephone | 806-288-9977
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Fax | 806-288-9978
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Provider Business Mailing Address
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Address Line | 11912 SLIDE RD
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City | LUBBOCK
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State | TX
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Zip | 79424-7445
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Country | US
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Telephone | 806-762-6777
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Fax | 806-762-6780
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GERALD LYNN WOOLAM JR.
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Credential |
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Telephone | 806-762-6777
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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 | 0093664
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License Number State | TX
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