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General NPI Number Information
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NPI Number | 1841887122
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Entity Type | Organization
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Legal Business Name | NORTH STAR LLC
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Dates
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Enumeration Date | 12/21/2020
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Last Update Date | 12/21/2020
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Provider Practice Location Address
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Address Line | EB12 CALLE ARTURO CADILLA MATOS
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City | TOA BAJA
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State | PR
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Zip | 00949-2701
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Country | US
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Telephone | 787-274-0769
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 52335
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City | TOA BAJA
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State | PR
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Zip | 00950-2335
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. CARLOS J. REYES
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Credential |
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Telephone | 787-274-0769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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