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NPI 1881770923

NPI 1881770923 : ALLSTAR PARTNERS LP : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1881770923
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALLSTAR PARTNERS LP 
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Dates
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    Enumeration Date     |    10/31/2006
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    Last Update Date     |    10/30/2012
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Provider Practice Location Address
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    Address Line         |    6894 ALAMO DOWNS PKWY 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78238-4535
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    Country              |    US
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    Telephone            |    210-767-8004
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    Fax                  |    210-767-8024
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Provider Business Mailing Address
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    Address Line         |    1101 W. PECAN, #8 
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    City                 |    PFLUGERVILLE
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    State                |    TX
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    Zip                  |    78634
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    Country              |    US
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    Telephone            |    512-251-5977
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    Fax                  |    512-251-6017
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Authorized Official
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    Title or Position    |    OWNER/PARTNER
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    Name                 |    MR. ARTHUR PRESTON GAGE 
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    Credential           |    
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    Telephone            |    512-251-5977
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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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Taxonomy #2
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    Taxonomy Code        |    332BC3200X
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    Taxonomy Name        |    Customized Equipment (DME)
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    License Number       |    
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    License Number State |    
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