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General NPI Number Information
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NPI Number | 1952602187
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Entity Type | Organization
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Legal Business Name | BLUE STAR HEALTH CARE SERVICES
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Dates
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Enumeration Date | 11/04/2010
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Last Update Date | 11/04/2010
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Provider Practice Location Address
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Address Line | 2137 HAZLITT DR
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City | HOUSTON
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State | TX
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Zip | 77032-2074
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Country | US
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Telephone | 281-831-5608
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Fax |
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Provider Business Mailing Address
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Address Line | 2137 HAZLITT DR.
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City | HOUSTON
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State | TX
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Zip | 77032
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Country | US
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Telephone | 281-831-5608
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MICHAEL CALDWELL
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Credential |
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Telephone | 281-831-5608
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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 | 11054943
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License Number State | TX
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