MEDICARE: QLER SOLUTIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2084P0804X	Child & Adolescent Psychiatry Physician
2	208D00000X	General Practice Physician
3	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1558800698
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QLER SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	1900 CAMPUS COMMONS DRIVE
Second Line	:	SUITE 100
City	:	RESTON
State	:	VA
Zip	:	20191-1535
Country	:	US
Telephone Number	:	910-523-1052
Fax Number	:	800-731-6158

Provider Business Practice Location Address
First Line	:	1900 CAMPUS COMMONS DR
Second Line	:	SUITE 100
City	:	RESTON
State	:	VA
Zip	:	20191-1561
Country	:	US
Telephone Number	:	910-523-1052
Fax Number	:	800-731-6158

Authorized Official
Title or Position	:	CEO
Name	:	RICK DAVIS
Credential	:
Telephone Number	:	312-961-4490

Provider Enumeration Date	:	02/22/2017
Last Update Date	:	02/22/2017

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Directions to “QLER SOLUTIONS, LLC ” Practice Location

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