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General NPI Number Information
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NPI Number | 1861288466
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Entity Type | Organization
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Legal Business Name | STAR HEALTHCARE SUPPLIES LLC
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 2810 N CHURCH ST # 940952
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City | WILMINGTON
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State | DE
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Zip | 19802-4447
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Country | US
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Telephone | 610-255-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 1442 POTTSTOWN PIKE STE 272
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City | WEST CHESTER
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State | PA
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Zip | 19380-1271
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Country | US
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Telephone | 610-255-7800
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Fax | 610-255-7800
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Authorized Official
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Title or Position | OWNER
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Name | NELSON A LAMIZANA
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Credential |
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Telephone | 610-255-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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