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General NPI Number Information
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NPI Number | 1811519994
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Entity Type | Organization
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Legal Business Name | 5 STAR HEALTHCARE CONSULTANTS, INC.
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Dates
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Enumeration Date | 05/12/2020
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Last Update Date | 07/20/2023
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Provider Practice Location Address
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Address Line | 5401 S KIRKMAN RD
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City | ORLANDO
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State | FL
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Zip | 32819-7940
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Country | US
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Telephone | 800-721-8839
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Fax |
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Provider Business Mailing Address
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Address Line | 3632 ARCH ST
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City | ORLANDO
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State | FL
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Zip | 32808-7408
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Country | US
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Telephone | 407-766-8865
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTICTIONER
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Name | TEQUILA GOLDEN
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Credential | APRN
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Telephone | 407-766-8865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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