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General NPI Number Information
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NPI Number | 1902739303
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Entity Type | Organization
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Legal Business Name | STARRAE HEALTH LLC
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 1720 W HORIZON RIDGE PKWY STE 110
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City | HENDERSON
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State | NV
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Zip | 89012-4896
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Country | US
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Telephone | 702-623-3250
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Fax |
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Provider Business Mailing Address
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Address Line | 2345 VIA INSPIRADA PMB 366
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City | HENDERSON
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State | NV
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Zip | 89044-1814
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Country | US
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Telephone | 702-377-2105
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Fax | 877-682-6561
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Authorized Official
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Title or Position | APRN
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Name | DEOKCHOL PARISH
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Credential | NP
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Telephone | 702-377-2105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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