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NPI 1871955997

NPI 1871955997 : THE STAR GROUP, INC. : BINGHAMTON, NY

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General NPI Number Information
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    NPI Number           |    1871955997
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE STAR GROUP, INC. 
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Dates
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    Enumeration Date     |    03/28/2016
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    Last Update Date     |    03/21/2018
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Provider Practice Location Address
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    Address Line         |    47 BROAD AVE 
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    City                 |    BINGHAMTON
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    State                |    NY
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    Zip                  |    13904
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    Country              |    US
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    Telephone            |    607-765-7827
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    Fax                  |    607-692-7829
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Provider Business Mailing Address
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    Address Line         |    PO BOX 708 
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    City                 |    WHITNEY POINT
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    State                |    NY
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    Zip                  |    13862-0708
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    Country              |    US
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    Telephone            |    607-765-7827
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    Fax                  |    607-692-7829
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Authorized Official
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    Title or Position    |    PRESIDENT / CEO
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    Name                 |    MS. SUSAN ANN WHEELER 
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    Credential           |    
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    Telephone            |    607-765-7827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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