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General NPI Number Information
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NPI Number | 1770974859
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Entity Type | Organization
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Legal Business Name | STAR ALLIANCE HEALTH GROUP INC
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Dates
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Enumeration Date | 02/11/2015
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 27994 BRADLEY RD #H
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City | MENIFEE
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State | CA
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Zip | 92586-2240
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Country | US
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Telephone | 951-301-8868
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Fax | 951-246-3083
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Provider Business Mailing Address
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Address Line | 27994 BRADLEY RD #H
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City | MENIFEE
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State | CA
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Zip | 92586-2240
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Country | US
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Telephone | 951-301-8868
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Fax | 951-246-3083
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Authorized Official
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Title or Position | DIRECTOR/PIC
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Name | MR. ANKIT BHALODIA
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Credential |
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Telephone | 951-301-8868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY52045
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License Number State | CA
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