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General NPI Number Information
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NPI Number | 1821355272
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Entity Type | Organization
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Legal Business Name | MC STAR PLUS HOME HEALTH CARE
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Dates
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Enumeration Date | 04/23/2012
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Last Update Date | 04/23/2012
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Provider Practice Location Address
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Address Line | 532 SIMS DR
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City | CEDAR HILL
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State | TX
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Zip | 75104-7711
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Country | US
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Telephone | 469-522-9272
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Fax | 469-522-9266
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Provider Business Mailing Address
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Address Line | 532 SIMS DR
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City | CEDAR HILL
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State | TX
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Zip | 75104-7711
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Country | US
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Telephone | 469-522-9272
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Fax | 469-522-9266
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. AUGUSTINA OGBONNA
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Credential | RN
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Telephone | 469-522-9272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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