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General NPI Number Information
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NPI Number | 1760991780
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Entity Type | Organization
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Legal Business Name | A STAR COMPANION, INC
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Dates
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Enumeration Date | 09/21/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 9628 N.E 2 AVE SUITE A4
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City | MIAMI SHORES
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State | FL
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Zip | 33138
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Country | US
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Telephone | 305-834-9989
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Fax | 305-563-7027
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Provider Business Mailing Address
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Address Line | 9628 NE 2ND AVE STE A4
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City | MIAMI SHORES
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State | FL
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Zip | 33138-2748
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Country | US
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Telephone | 305-328-9381
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Fax | 305-563-7027
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ESTHER EDOUARD
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Credential | HEALTH CARE PROVIDER
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Telephone | 305-328-9381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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