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General NPI Number Information
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NPI Number | 1881015535
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Entity Type | Organization
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Legal Business Name | STAR ONE HOME HEALTH CARE INC
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Dates
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Enumeration Date | 12/25/2013
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Last Update Date | 12/25/2013
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Provider Practice Location Address
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Address Line | 610 S WALNUT ST
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City | MILFORD
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State | DE
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Zip | 19963-2332
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Country | US
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Telephone | 302-265-5009
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Fax | 410-548-2896
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Provider Business Mailing Address
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Address Line | 610 S WALNUT ST
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City | MILFORD
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State | DE
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Zip | 19963-2332
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Country | US
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Telephone | 302-265-5009
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Fax | 410-548-2896
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | PROF. MONROE ROOSEVELT PARKER JR.
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Credential | MDIV
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Telephone | 302-424-7637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 134764009
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License Number State | DE
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