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General NPI Number Information
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NPI Number | 1992919443
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Entity Type | Organization
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Legal Business Name | HEALTH STAR HOME HEALTH AGENCY
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4402 BROADWAY BLVD SUITE 6F
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City | GARLAND
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State | TX
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Zip | 75043
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Country | US
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Telephone | 214-227-5516
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Fax |
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Provider Business Mailing Address
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Address Line | 4402 BROADWAY BLVD SUITE 6F
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City | GARLAND
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State | TX
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Zip | 75043
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Country | US
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Telephone |
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Fax | 214-227-5534
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHIBUZOR NGWAKWE
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Credential |
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Telephone | 214-227-5516
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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 | 008015
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License Number State | TX
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