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General NPI Number Information
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NPI Number | 1053498774
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Entity Type | Organization
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Legal Business Name | QUEST HOME CARE INC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 04/14/2008
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Provider Practice Location Address
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Address Line | 2557 SHELBY ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46203-4253
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Country | US
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Telephone | 317-787-8378
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Fax | 317-783-2222
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Provider Business Mailing Address
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Address Line | 2557 SHELBY ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46203-4253
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Country | US
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Telephone | 317-787-8378
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Fax | 317-783-2222
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Authorized Official
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Title or Position | CEO
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Name | MR. MARK ALAN BOXELL
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Credential | CRT, RCP
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Telephone | 317-787-8378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 69000197A
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License Number State | IN
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