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General NPI Number Information
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NPI Number | 1982931499
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Entity Type | Organization
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Legal Business Name | HEALTH STAR INC
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Dates
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Enumeration Date | 11/05/2009
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Last Update Date | 10/22/2010
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Provider Practice Location Address
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Address Line | 2441 COBBS FORD ROAD
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City | PRATTVILLE
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State | AL
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Zip | 36066
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Country | US
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Telephone | 334-491-5500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 241857
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City | MONTGOMERY
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State | AL
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Zip | 36124-1857
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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 | BUSINESS MANAGER
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Name | STEPHEN SILVER
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Credential |
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Telephone | 334-396-1155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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