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General NPI Number Information
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NPI Number | 1063801223
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Entity Type | Organization
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Legal Business Name | QUALITY LIFE RESEARCH
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Dates
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Enumeration Date | 01/12/2015
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 38 NW 5TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33030-5944
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Country | US
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Telephone | 786-610-0015
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Fax | 786-610-0016
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Provider Business Mailing Address
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Address Line | 38 NW 5TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33030-5944
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Country | US
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Telephone | 786-610-0015
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Fax | 786-610-0016
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Authorized Official
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Title or Position | PRESIDENT
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Name | BARBARA PEREZ
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Credential |
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Telephone | 786-610-0015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State | FL
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