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General NPI Number Information
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NPI Number | 1972027597
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Entity Type | Organization
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Legal Business Name | ALL STAR COMMUNITY CARE, INC.
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Dates
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Enumeration Date | 07/26/2017
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Last Update Date | 03/12/2019
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Provider Practice Location Address
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Address Line | 101 W STATE ST
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City | GARLAND
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State | TX
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Zip | 75040-6407
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Country | US
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Telephone | 469-767-5584
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Fax |
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Provider Business Mailing Address
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Address Line | 101 W STATE ST
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City | GARLAND
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State | TX
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Zip | 75040-6407
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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 | OWNER/ PROGRAM DIRECTOR
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Name | ROSELINE UCHE OFOEGBU
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Credential | RN, MPH
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Telephone | 469-767-5580
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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 |
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License Number State |
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