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General NPI Number Information
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NPI Number | 1902676141
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Entity Type | Organization
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Legal Business Name | STAR HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 704 PRATT AVE NE
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City | HUNTSVILLE
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State | AL
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Zip | 35801-3644
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Country | US
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Telephone | 256-534-1118
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Fax |
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Provider Business Mailing Address
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Address Line | 704 PRATT AVE NE
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City | HUNTSVILLE
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State | AL
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Zip | 35801-3644
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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 | DIRECTOR OF PHARMACY
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Name | TRENT MCLEMORE
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Credential |
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Telephone | 256-566-7980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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