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General NPI Number Information
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NPI Number | 1003288184
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Entity Type | Organization
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Legal Business Name | QUALITY OF LIFE HEALTH SERVICES, INC
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Dates
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Enumeration Date | 10/28/2015
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Last Update Date | 10/28/2015
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Provider Practice Location Address
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Address Line | 110 SPRING ST N
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City | TALLADEGA
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State | AL
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Zip | 35160-2040
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Country | US
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Telephone | 256-315-1697
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 97
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City | GADSDEN
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State | AL
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Zip | 35902-0097
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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 | CEO
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Name | WAYNE ROWE
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Credential | MPA
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Telephone | 256-492-0131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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