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General NPI Number Information
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NPI Number | 1912247362
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Entity Type | Organization
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Legal Business Name | S.T.A.R. HOME HEALTH CARE SERVICES
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Dates
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Enumeration Date | 02/21/2013
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Last Update Date | 02/21/2013
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Provider Practice Location Address
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Address Line | 6614 W FLORISSANT AVE STE 3A
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City | SAINT LOUIS
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State | MO
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Zip | 63136-3647
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Country | US
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Telephone | 314-942-2947
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Fax | 314-942-2946
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Provider Business Mailing Address
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Address Line | 6614 W FLORISSANT AVE STE 3A
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City | SAINT LOUIS
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State | MO
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Zip | 63136-3647
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Country | US
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Telephone | 314-942-2947
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Fax | 314-942-2946
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MS. CHRISTINA MARIE THOMAS-REID
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Credential | REGISTERED NURSE
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Telephone | 314-942-2947
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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 | 2010003391
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 2010003391
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 2010003391
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License Number State | MO
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